BRENT HEIMULLER (M.D.) – Pediatrics Physician, NPI 1053364562
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
298 PEDIATRIC MEDICINE in OR
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Provider Addresses for BRENT HEIMULLER (M.D.)
Northeast Cumulus Avenue, McMinnville, Yamhill County, Oregon, 97128, United States
MCMINNVILLE, OR 971288862
Phone: (503) 472-6161
Fax: (503) 434-6290
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($323).
Total Amount
$545
General + Research + Ownership
Payments
17
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $323 |
| GlaxoSmithKline, LLC. | $162 |
| Amgen Inc. | $45 |
| AstraZeneca Pharmaceuticals LP | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091222000734 | I | Pediatric Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Pediatric Medicine | OR | |
| Clinical Psychologist | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine | OR | |
| - | OR | |
| Family Practice | OR |
Reviews
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