DR. NICHOLAS BRANDL ROSSI (MD) – Neurological Surgery Physician, NPI 1295029510

DR. NICHOLAS BRANDL ROSSI (MD) is a healthcare provider. based in Fort worth, Texas. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. R2722 (TX). The NPI Number for DR. NICHOLAS BRANDL ROSSI (MD) is 1295029510

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS BRANDL ROSSI (MD)
NPI
1295029510
Phone
(817) 878-5333
Address
1900 MISTLETOE BLVD STE 200
Enumeration Date
3 June 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3094493321
Graduation Year
2011 (15 years ago)
PAC ID
5294972816
Group Practice PAC ID
1153363577
Professional Enrollment ID
I20190128001249
Address ID
IL617477525HO107XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

327 NEUROSURGERY in IL

Provider Addresses for DR. NICHOLAS BRANDL ROSSI (MD)

  • 1900 MISTLETOE BLVD STE 200

    FORT WORTH, TX 761044049

    Phone: (817) 878-5333

    Fax: (817) 878-5334

    Type: Mailing

  • 375 N WALL ST STE P530

    KANKAKEE, IL 609013486

    Phone: (815) 932-7200

    Fax: (815) 935-7874

    Type: Location

  • 107 TREMONT ST

    HOPEDALE, IL 617477525

    Phone: (309) 449-4338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $473.

Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($205).

Total Amount

$473

General + Research + Ownership

Payments

14

Total payment records

General Amount

$473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-01-28

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
I20190128001249INeurosurgeryILTBD

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 minutes140104$0
99212Established patient office or other outpatient visit, 10-19 minutes10681$0
99204New patient office or other outpatient visit, 45-59 minutes100100$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3525$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment2524$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153363577View full group profile
NameSpecialtyState
Family Practice, Colorectal Surgery (Proctology)NC
Physician AssistantIL
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NICHOLAS BRANDL ROSSI (MD)?
DR. NICHOLAS BRANDL ROSSI (MD) — NPI 1295029510 — is the standard way to identify this listing.
Can I rely on DR. NICHOLAS BRANDL ROSSI (MD) being an active provider?
As of the registry snapshot, DR. NICHOLAS BRANDL ROSSI (MD) is marked active.
What taxonomy line describes DR. NICHOLAS BRANDL ROSSI (MD)?
For research purposes, treat DR. NICHOLAS BRANDL ROSSI (MD) as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NICHOLAS BRANDL ROSSI (MD)?
DR. NICHOLAS BRANDL ROSSI (MD)'s geographic hint is Fort Worth, Texas in our summary view.
Is the information about DR. NICHOLAS BRANDL ROSSI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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