DR. ROGER D. BROCKBANK (M.D.) – Family Medicine Physician, NPI 1669463626
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for DR. ROGER D. BROCKBANK (M.D.)
West 200 North, Lindon, Utah County, Utah, 84042, United States
LINDON, UT 840425009
Phone: (801) 796-1333
Fax: (801) 756-1705
Type: Mailing
North 2000 West, Pleasant Grove, Utah County, Utah, 84042, United States
PLEASANT GROVE, UT 840624047
Phone: (801) 756-3511
Fax: (801) 443-1164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $1,990.
Total Amount is formed as General ($1,990) + Research ($0) + Ownership ($0) = $1,990.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($536).
Total Amount
$1,990
General + Research + Ownership
Payments
117
Total payment records
General Amount
$1,990
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $536 |
| Mylan Specialty L.P. | $172 |
| AstraZeneca Pharmaceuticals LP | $152 |
| IMPEL PHARMACEUTICALS INC. | $129 |
| Lilly USA, LLC | $128 |
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: 2009-09-24
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 |
|---|---|---|---|---|
| I20090924000089 | I | Family Practice | UT | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 260 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 77 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 84 | 84 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 | 83 | $0 |
Insurance plans in this area (ZIP 84042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Family Practice | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Family Practice | UT | |
| - | UT |
Reviews
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