Brian Edward Pucevich, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD445813 Issued in PA

Practice address

500 Cherrington Pkwy
Suite 410
Coraopolis, PA 15108-4744

Phone

(412) 262-1064

Fax

(412) 262-3904

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dermatology

Education

Georgetown University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Western Pennsylvania IncGroup PAC ID 6709029630, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.52 of 100Reported as individual

Quality

93.67

Promoting interoperability

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.pucevich@westernpa.emadirect.md

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.

• Dermatology Associates of Western Pennsylvania Inc.

  • Dermatology Physician
  • Coraopolis, PA
  • NPI 1205271624
  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Western Pennsylvania Inc.

  dba Dermatology Associates of Western Pennsylvania

  • Dermatology Physician
  • Coraopolis, PA
  • NPI 1467509810
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1295998557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY",
            "address_2": "SUITE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084744",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRINGTON PKWY",
            "address_2": "SUITE 410",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084744",
            "telephone_number": "412-262-1064",
            "fax_number": "412-262-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCEVICH",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD445813",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD445813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pittsburgh Cardiac & Vascular Associates PC
• Dane R Plunkett, DMD
• James Michael Ponce, LPC
• Jennifer Slane Porco, PH.D.
• Kathleen Prince-Pennington, LPC MS ED
• Charles L Pucevich, MD
• Maria Valiente Pucevich, MD
• Qpharma Inc
• Joanne Kathryn Racicot, RPH
• Ryan Raible

• Dermatology Physician in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.

Verify at the official NPI Registry.