Active NPI
Brian E Pickens, MD
- Surgery Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0079664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264138100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Concierge Home Care
- HCA Florida North Florida Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 34 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 25 |
| Melanoma (skin cancer) excision | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0079664 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgical Associates LLC | Current | 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
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gainesville, FL
- NPI 1982688628
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gainesville, FL
- NPI 1629670310
-
- Home Health Agency
- Lake City, FL
- NPI 1639777345
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1174579155
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.