Individual provider Active NPI

Brandon Lebioda, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1386308401
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15869 Issued in TX
Practice address
900 W 38TH St Ste 300
Austin, TX 78705-1130
Phone
(586) 453-1917
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15869 TX Primary

Addresses

Primary practice location

900 W 38TH St Ste 300
Austin, TX 78705-1130

Mailing address

10600 Brezza LN Apt 120
Austin, TX 78748-2520
Phone (586) 453-1917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001028 TX Practitioner - Physician Assistant 9234514191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Sports Medicine LLPGroup PAC ID 3779596986, 17 clinicians

Practice addresses (Care Compare)

12101 Bee Caves Rd
Suite 5E
Bee Cave, TX 78738-6464
Phone (512) 450-1300

900 W 38TH St
Suite 300
Austin, TX 78705-1130
Phone (512) 450-1300

Merit-based Incentive Payment System (MIPS)

Final score
53.45 of 100Reported as group
Quality
6.89
Improvement activities
40
Cost
68.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: brandon.lebioda.1@30366.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1386308401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 BREZZA LN APT 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482520",
            "telephone_number": "586-453-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 38TH ST STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051130",
            "telephone_number": "586-453-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBIODA",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.