Derald E. Brackmann, MD
NPI 1508876699ActiveIndividual· Otolaryngology, Otology & Neurotology· Los Angeles, CA
Otolaryngology, Otology & Neurotology (MD) in Los Angeles, California, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1962). In 2024 Medicare paid $64,724 for 522 patients, and Part D covered 262 of their prescriptions, 69% of them generic.
Overview
| NPI | 1508876699 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Sep 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Otology & Neurotology Primary | 207YX0901X | G11124 | CA |
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 - Otolaryngology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 522 |
|---|---|
| Services billed | 1,017 across 16 procedure codes |
| Paid by Medicare | $64,724 |
Part D prescriptions in 2024
| Prescriptions (claims) | 262 · 470 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $16,205 |
| Generic share | 69% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1962 |
| Medicare specialty | Otolaryngology |
| Secondary specialties | Neurology |
Medical group
- Pih Health PhysiciansSanta Fe Springs, CA · 622 clinicians
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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