Individual provider Active NPI

Brian E Pickens, MD

  • Surgery Physician
  • Gainesville, FL
National Provider Identifier
1093712895
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0079664 Issued in FL
Practice address
1143 NW 64TH Ter
Gainesville, FL 32605-4218
Phone
(352) 331-1201
Fax
(352) 331-5273
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0079664 FL Primary

Addresses

Primary practice location

1143 NW 64TH Ter
Gainesville, FL 32605-4218

Mailing address

1143 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 331-1201

Other identifiers 1

IdentifierTypeStateIssuer
264138100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRIAN.PICKENS@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090409000620 FL Practitioner - General Surgery 5395800379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgical Associates LLCGroup PAC ID 4082634407, 52 clinicians

Practice addresses (Care Compare)

1121 NW 64TH Ter
Gainesville, FL 32605-4256

1143 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 331-1201

4094 SW 41St Blvd
Gainesville, FL 32608-5396
Phone (352) 774-7000

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Lake City, FL, CCN 687144
  • Concierge Home Care Home health agency, Gainesville, FL, CCN 687196
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)34
Hernia repair (minimally invasive)1-10
Mastectomy25
Melanoma (skin cancer) excision23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0079664FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgical Associates LLC CurrentSince May 15, 2020 Accepting new patients

Locations

1143 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-1201

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: brian.pickens@hca5.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1093712895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-331-1201",
            "fax_number": "352-331-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 NW 64TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054218",
            "telephone_number": "352-331-1201",
            "fax_number": "352-331-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "BRIAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0079664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264138100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.PICKENS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1143 NW 64th Ter",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326054218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.