DR. BRENT DAVIS STATON (M.D.) – Family Medicine Physician, NPI 1508989450

DR. BRENT DAVIS STATON (M.D.) is a healthcare provider. based in Cookeville, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 45555 (TN). The NPI Number for DR. BRENT DAVIS STATON (M.D.) is 1508989450

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT DAVIS STATON (M.D.)
NPI
1508989450
Phone
(931) 400-0808
Address
1135 S WALNUT AVE
Enumeration Date
7 April 2007
Last Update Date
6 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4789869546
Professional Enrollment ID
I20110421000460
Address ID
TN385015961Co1135XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for DR. BRENT DAVIS STATON (M.D.)

  • 1135 S WALNUT AVE

    COOKEVILLE, TN 385015961

    Phone: (931) 400-0808

    Fax: (931) 400-0809

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-04-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110421000460IFamily PracticeTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes18957$0
99214Established patient office or other outpatient visit, 30-39 minutes4835$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
99497Advance care planning, first 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 38501)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. BRENT DAVIS STATON (M.D.)'s NPI?
Yes. DR. BRENT DAVIS STATON (M.D.) is listed with NPI 1508989450 in the public NPI dataset.
Does CMS list DR. BRENT DAVIS STATON (M.D.) as active?
Yes — DR. BRENT DAVIS STATON (M.D.) is active in the NPI listing used on this page.
What is DR. BRENT DAVIS STATON (M.D.) best known for clinically?
Directory data describes DR. BRENT DAVIS STATON (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRENT DAVIS STATON (M.D.) list a practice location?
Patients near Cookeville, Tennessee may find DR. BRENT DAVIS STATON (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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