BRANT FONNESBECK, DO
Family Medicine Physician · LOGAN, UT
Individual Active NPI 1033156849
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 18 | 43 | $7,795 | $2,987 | $2,069 |
| 2023 | 13 | 25 | $3,412 | $1,795 | $1,450 |
| 2022 | 43 | 51 | $18,591 | $5,415 | $3,980 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 5953772-1204 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.