BRANDI L BOLLER (DO) – Family Medicine Physician, NPI 1528034683
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,083 FAMILY PRACTICE in OR
Provider Addresses for BRANDI L BOLLER (DO)
815 NW 9TH ST STE 215
CORVALLIS, OR 973306173
Phone:
Type: Mailing
777 NW 9TH ST STE 320
CORVALLIS, OR 973306169
Phone: (541) 768-1840
Type: Location
2020 Capitol St NE
Salem, OR 973010698
Phone: (503) 399-2424
Fax: (503) 375-7432
Type: Location
West Parkway Boulevard, Liberal, Seward County, Kansas, 67901, United States
LIBERAL, KS 679012081
Phone: (620) 624-0142
Fax: (620) 624-2660
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Organon LLC ($21).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $21 |
| GlaxoSmithKline, LLC. | $19 |
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: 2021-04-29
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 |
|---|---|---|---|---|
| I20210429001233 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 299 | 126 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 33 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 32 | 31 | $0 |
Insurance plans in this area (ZIP 97330)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Physical Therapist In Private Practice | MT | |
| P S Y C H I A T R Y | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Occupational Therapist In Private Practice | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | OR |
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