DR. BRADEN RUSS BRKLACICH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1609397207
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
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Provider Addresses for DR. BRADEN RUSS BRKLACICH (DPM)
309 PAGES PL
BOUNTIFUL, UT 840106763
Phone:
Type: Mailing
George E. Wahlen Department of Veterans Affairs Medical Center, 500, Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84148, United States
SALT LAKE CITY, UT 841480001
Phone: (801) 507-3747
Type: Location
1583 E GREENLEY HILL DR
EAGLE MOUNTAIN, UT 840053812
Phone:
Type: Mailing
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT 840657299
Phone: (801) 253-6886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,254.
Total Amount is formed as General ($1,254) + Research ($0) + Ownership ($0) = $1,254.
Last reported payment date: 2023-11-27 • Largest payer in this snapshot: Anika Therapeutics, Inc. ($591).
Total Amount
$1,254
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Anika Therapeutics, Inc. | $591 |
| Stryker Corporation | $342 |
| Organogenesis Inc. | $156 |
| Fusion Orthopedics, LLC. | $136 |
| Kowa Pharmaceuticals America, Inc. | $29 |
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: 2023-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230315002191 | I | Podiatry | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 656 | 155 | $0 |
| 97750 | Test or measurement for functional capacity, each 15 minutes | 532 | 202 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 352 | 156 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 328 | 155 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 328 | 155 | $0 |
Insurance plans in this area (ZIP 84010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ | |
| Nurse Practitioner | AZ | |
| P O D I A T R Y | TX | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | TX | |
| P O D I A T R Y | ID | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ |
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