BREYNN ENTWISTLE (PA-C) – Epilepsy Physician, NPI 1003302183
Epilepsy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BREYNN ENTWISTLE (PA-C)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 841320002
Phone: (801) 585-7676
Type: Location
30, Orange Street, Salt Lake City, Salt Lake County, Utah, 84116, United States
UNIT B-425
SALT LAKE CITY, UT 84116
Phone: (732) 615-8951
Type: Mailing
1000 14TH AVE
BELMAR, NJ 077192809
Phone: (732) 615-8951
Type: Mailing
479 COUNTY ROAD 520 STE B101
MARLBORO, NJ 077461089
Phone: (732) 856-5999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $2,362.
Total Amount is formed as General ($2,362) + Research ($0) + Ownership ($0) = $2,362.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: UCB, Inc. ($589).
Total Amount
$2,362
General + Research + Ownership
Payments
157
Total payment records
General Amount
$2,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $589 |
| ABBVIE INC. | $346 |
| Neurelis, Inc. | $282 |
| SK Life Science, Inc. | $216 |
| Aucta Pharmaceuticals, Inc. | $126 |
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: 2021-10-28
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 |
|---|---|---|---|---|
| I20190402002183 | I | Physician Assistant | NV | TBD |
| I20211028000113 | I | Physician Assistant | NJ | 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 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| - | NC | |
| P S Y C H I A T R Y | UT |
Reviews
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