Timothy Charles Brazeal, MS, ATC, PA
NPI 1083933485ActiveIndividual· Physician Assistant· Lebanon, MO
Physician Assistant (MS, ATC, PA) with Mercy Clinic Springfield Communities, practicing in Lebanon, Missouri. Mostly services rather than prescriptions: Medicare paid $8,773 for 69 patients in 2024, with only 19 Part D claims. Lists Mercy Hospital Lebanon and 1 other hospital as hospital affiliations.
Overview
| NPI | 1083933485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, ATC, PA |
| Sole proprietor | No |
| NPI issued | May 25, 2010 |
| Last updated in NPPES | Jul 23, 2024 |
| Certified by provider | Jul 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2018004459 | MO |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 200901846 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 155 across 15 procedure codes |
| Paid by Medicare | $8,773 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 19 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $229.15 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mercy Clinic Springfield CommunitiesLebanon, MO · 1,120 clinicians
Hospital affiliations
- Mercy Hospital LebanonLebanon, MO
- Mercy Hospital SpringfieldSpringfield, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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