MICHAEL P. BROCKMAN
NPI 1275075152
Nurse Practitioner - Psychiatric/Mental Health in Moraine, OH

Active since November 09, 2016PECOS Enrolled
84.5/100
CMS Quality Rating
5348 LAMME RD, MORAINE, OH 45439(937) 534-4651(937) 522-8799 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2020, Oct 8, 2019, Sep 17, 2019 and 4 more (7 updates tracked since 2016).

About Michael P. Brockman NPPES

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

MICHAEL P. BROCKMAN (NPI 1275075152) is an individual psychiatric/mental health provider in Moraine, Ohio, licensed in Ohio (APRN.CNP.024158) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fairborn.

NPPES Registry Identity

NPI1275075152
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL P. BROCKMAN
Location Address5348 LAMME RDMoraine, OH 45439-3215
Mailing Address5348 Lamme RdMoraine, OH 45439-3215 · (937) 534-4651 · Fax (937) 522-8799
Fax(937) 522-8799
Sole ProprietorNo
Enumeration DateNovember 9, 2016
Last NPPES UpdateNovember 23, 20207 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
NPI 1275075152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.024158
5348 LAMME RD, Moraine, OH 45439

Secondary Practice Location 1

Location 1323 N Broad StFairborn, OH 45324 · Phone (937) 318-8103

Other Identifiers 2

OtherH709731OH · Medicare
Medicaid0342029OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael P. Brockman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45439 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5348 LAMME RD
MORAINE, OH 45439
Nurse Practitioner (Psychiatric/Mental Health)
5348 LAMME RD
MORAINE, OH 45439
Physician Assistant
5348 LAMME RD
MORAINE, OH 45439
Physician Assistant
5348 LAMME RD
MORAINE, OH 45439
Psychiatry & Neurology (Psychiatry)
5348 LAMME RD
MORAINE, OH 45439
Counselor (Mental Health)
5348 LAMME RD
MORAINE, OH 45439
Nurse Practitioner (Psychiatric/Mental Health)
5348 LAMME RD
MORAINE, OH 45439
Nurse Practitioner (Psychiatric/Mental Health)
5348 LAMME RD
MORAINE, OH 45439

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 Michael Brockman's NPI number?

The NPI number for Michael Brockman is 1275075152. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Michael Brockman located?

Michael Brockman practices at 5348 Lamme Rd, Moraine, OH 45439. The listed phone number is (937) 534-4651.

What is Michael Brockman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Brockman enrolled in Medicare?

Yes. Michael Brockman is registered in the Medicare PECOS enrollment system.

What insurance does Michael Brockman accept?

Health plans from CareSource, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Michael Brockman 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 Michael Brockman was last updated on November 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.