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DYLAN BROKAW MD
NPI 1194288092
Surgery in Fishers, IN

Active since April 09, 2019PECOS Enrolled
13000 E 136TH ST STE C1300, FISHERS, IN 46037(317) 678-4663 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2026, Apr 9, 2019 (2 updates tracked since 2019).

About Dylan Brokaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN BROKAW MD (NPI 1194288092) is an individual surgery provider in Fishers, Indiana, licensed in Indiana (01095744A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2019).

NPPES Registry Identity

NPI1194288092
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDYLAN BROKAWCredential: MD
Location Address13000 E 136TH ST STE C1300Fishers, IN 46037-9478
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 678-4663
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1194288092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IN · 01095744A✔ Licensed in PA · MD489492
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
13000 E 136TH ST STE C1300, Fishers, IN 46037
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Secondary Practice Location 1

Location 1333 Cottman AvePhiladelphia, PA 19111-2434 · Phone (888) 369-2427

Other Identifiers 1

Medicaid300135621IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Brokaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688909377
PECOS Enrollment IDI20260714002107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dylan Brokaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
18 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Brokaw's NPI number?

The NPI number for Dylan Brokaw is 1194288092. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Dylan Brokaw located?

Dylan Brokaw practices at 13000 E 136th St Ste C1300, Fishers, IN 46037. The listed phone number is (317) 678-4663.

What is Dylan Brokaw's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dylan Brokaw enrolled in Medicare?

Yes. Dylan Brokaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Brokaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Brokaw reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dylan Brokaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Brokaw accept?

Health plans from Anthem Blue Cross and Blue Shield list Dylan Brokaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dylan Brokaw was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.