CAITLIN MORAN BROCKENSHIRE (MD) – Student in an Organized Health Care Education/Training Program, NPI 1053974949
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
609 NEUROLOGY in TN
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Provider Addresses for CAITLIN MORAN BROCKENSHIRE (MD)
Madison Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38163, United States
MEMPHIS, TN 381033438
Phone: (901) 448-6661
Type: Mailing
6325 HUMPHREYS BLVD
MEMPHIS, TN 381202300
Phone: (901) 522-7700
Fax: (901) 522-2600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $370.
Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($144).
Total Amount
$370
General + Research + Ownership
Payments
12
Total payment records
General Amount
$370
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $144 |
| Novartis Pharmaceuticals Corporation | $86 |
| Neurelis, Inc. | $51 |
| UCB, Inc. | $33 |
| ARGENX US, INC. | $23 |
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: 2024-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240428000092 | I | Neurology | MS | TBD |
| I20240501001661 | I | Neurology | TN | 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 38103)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TN | |
| N E U R O S U R G E R Y | TN | |
| Physician Assistant | TN | |
| N E U R O L O G Y | TN | |
| Pain Management, Interventional Pain Management, Anesthesiology | MS | |
| N E U R O S U R G E R Y | TN | |
| N E U R O S U R G E R Y | MS | |
| N E U R O S U R G E R Y | TN | |
| N E U R O S U R G E R Y | TX | |
| Physical Medicine And Rehabilitation | TN |
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