JOYCE M BRACKEBUSCH (MD) – Otolaryngology Physician, NPI 1710065271
Otolaryngology Physician
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Profile Insights
NPPES metrics only — not quality of care.
182 OTOLARYNGOLOGY in OR
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Provider Addresses for JOYCE M BRACKEBUSCH (MD)
360, South Garden Way, Eugene, Lane County, Oregon, 97401, United States
SUITE 200
EUGENE, OR 974018173
Phone: (541) 349-9333
Fax: (541) 349-0082
Type: Location
360 S Garden Way
Suite 200
Eugene, OR 974018173
Phone: (541) 349-9333
Fax: (541) 349-0082
Type: Location
3600 NW Samaritan Dr
Corvallis, OR 973305472
Phone: (541) 768-5111
Type: Location
PO BOX 6069
WEST COLUMBIA, SC 291716069
Phone: (803) 791-2000
Type: Mailing
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 291694800
Phone: (803) 936-7530
Fax: (803) 936-7532
Type: Location
Eugene Post Office, 520, Willamette Street, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 974050724
Phone: (541) 349-9333
Fax: (541) 349-0082
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Medtronic, Inc. ($131).
Total Amount
$323
General + Research + Ownership
Payments
6
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $131 |
| ABBVIE INC. | $64 |
| Inspire Medical Systems, Inc. | $55 |
| GENZYME CORPORATION | $28 |
| Genentech USA, Inc. | $24 |
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: 2024-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20051222000092 | I | Otolaryngology | OR | TBD |
| I20230217000596 | I | Otolaryngology | SC | TBD |
| I20240110003372 | I | Otolaryngology | WA | TBD |
| I20240212000179 | I | Otolaryngology | ID | 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 97401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Qualified Audiologist | WA | |
| N E U R O L O G Y | AK | |
| Nurse Practitioner | WA | |
| N E U R O L O G Y | CA |
Reviews
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