DR. ANDREW TRUEMAN BROCKENBROUGH (MD) – Nephrology Physician, NPI 1316994288
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
279 NEPHROLOGY in WA
Provider Addresses for DR. ANDREW TRUEMAN BROCKENBROUGH (MD)
Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
STE 100
RENTON, WA 980574934
Phone: (425) 656-5412
Fax: (425) 656-4079
Type: Mailing
24920 104TH AVE SE
KENT, WA 980306443
Phone: (425) 690-3544
Fax: (425) 690-9444
Type: Location
Medical Arts Center, 4033, Talbot Road South, Talbot Hill, Renton, King County, Washington, 98055, United States
STE 430
RENTON, WA 980555772
Phone: (425) 227-0231
Fax: (425) 227-0177
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $3.
Total Amount is formed as General ($3) + Research ($0) + Ownership ($0) = $3.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($3).
Total Amount
$3
General + Research + Ownership
Payments
1
Total payment records
General Amount
$3
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $3 |
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: 2006-10-30
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 |
|---|---|---|---|---|
| I20061030000160 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 380 | 199 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 284 | 43 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 210 | 72 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 98 | 20 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 82 | 29 | $0 |
Insurance plans in this area (ZIP 98057)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | WA | 90935 | Hemodialysis procedure with one physician evaluation | 124 | 68 |
| NEPHROLOGY | WA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 446 | 75 |
| NEPHROLOGY | WA | 90966 | Home dialysis services per month, patient 20 years of age or older | 72 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Hospice/Palliative Care, Internal Medicine | WA | |
| Internal Medicine, Hospitalist | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA |
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