JOHN M BROCKENBROUGH (MD) – Otolaryngology Physician, NPI 1134154131
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
321 OTOLARYNGOLOGY in WA
Provider Addresses for JOHN M BROCKENBROUGH (MD)
12303 NE 130TH LN STE 400
KIRKLAND, WA 980343041
Phone: (425) 899-4590
Fax: (425) 899-4591
Type: Location
PO BOX 34036
SEATTLE, WA 981241036
Phone: (425) 899-3292
Fax: (425) 899-3269
Type: Mailing
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: 2014-11-04
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 |
|---|---|---|---|---|
| I20141104000934 | I | Otolaryngology | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 62 | 62 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 47 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 30 | 27 | $0 |
Insurance plans in this area (ZIP 98034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Physician Assistant | WY | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WV | |
| Family Practice | VT | |
| - | WA |
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