BRAD LEE JIMMO (M.D.) – Surgery Physician, NPI 1437184637

BRAD LEE JIMMO (M.D.) is a healthcare provider. based in Rutland, Vermont. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 042-0010388 (VT). The NPI Number for BRAD LEE JIMMO (M.D.) is 1437184637

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
BRAD LEE JIMMO (M.D.)
NPI
1437184637
Phone
(802) 775-7745
Address
215 STRATTON RD
Enumeration Date
12 July 2006
Last Update Date
15 March 2012

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8027757111
Graduation Year
1996 (30 years ago)
PAC ID
2668440553
Group Practice PAC ID
7214846377
Professional Enrollment ID
I20040920000081
Address ID
VT057014560RU160XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

83 GENERAL SURGERY in VT

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Provider Addresses for BRAD LEE JIMMO (M.D.)

  • 215, Stratton Road, Billings Mobile Manor, Rutland City, Rutland County, Vermont, 05701, United States

    RUTLAND, VT 057014621

    Phone: (802) 775-7745

    Fax: (802) 775-5155

    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: 2004-09-20

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
I20040920000081IGeneral SurgeryVTTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes10867$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito105103$0
99203New patient office or other outpatient visit, 30-44 minutes5554$0
99213Established patient office or other outpatient visit, 20-29 minutes4743$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 05701)

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Provider's Procedures

BRAD LEE JIMMO (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYVT45378Diagnostic examination of large bowel using an endoscope1414
GENERAL SURGERYVT45385Removal of polyps or growths of large bowel using an endoscope1313

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: 7214846377View full group profile
NameSpecialtyState
Orthopedic SurgeryVT
Orthopedic SurgeryVT
-VT
Pulmonary Disease, Critical Care (Intensivists)DE
Internal MedicineVT
O B S T E T R I C S/ G Y N E C O L O G YDC
Hospitalist, Internal MedicineMA
Emergency MedicineVT
Certified Registered Nurse Anesthetist (Crna)FL
-VT

Reviews

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Frequently asked questions

How is BRAD LEE JIMMO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists BRAD LEE JIMMO (M.D.) with NPI 1437184637.
Is BRAD LEE JIMMO (M.D.) listed as active for patients and plans?
The listing shows BRAD LEE JIMMO (M.D.) as active in the NPI system.
What is BRAD LEE JIMMO (M.D.)'s specialty?
The listing groups BRAD LEE JIMMO (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for BRAD LEE JIMMO (M.D.)?
BRAD LEE JIMMO (M.D.)'s geographic hint is Rutland, Vermont in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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