NPIMap

Individual provider Active NPI

Brenton Arthur Meda, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Great Falls, MT
National Provider Identifier
1538230271
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
9567 Issued in MT
Practice address
2619 16TH Ave S
Great Falls, MT 59405-5202
Phone
(406) 315-3398
Fax
(406) 315-3400
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 9567 MT Primary

Addresses

Primary practice location

2619 16TH Ave S
Great Falls, MT 59405-5202

Mailing address

2619 16TH Ave S
Great Falls, MT 59405-5202
Phone (406) 315-3398

Other identifiers 1

IdentifierTypeStateIssuer
0028171MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220719001630 MD Practitioner - Pathology 2264512557 Reassigns benefits to 1 organization
I20240320003005 PA Practitioner - Pathology 2264512557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Wisconsin, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Highlands Pathology Associates PAGroup PAC ID 1254472020, 4 clinicians
Pinnacle Health Regional PhysiciansGroup PAC ID 7416228358, 158 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-2500

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-2150

Hospital & facility affiliations

  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Oss Orthopaedic Hospital Hospital, York, PA, CCN 390325
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
93.31 of 100Reported as group
Quality
86.62
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9567MTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Highlands Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2022 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 1, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Mar 1, 2024 Accepting new patients
Mountain View Pathology Associates Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1538230271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-315-3398",
            "fax_number": "406-315-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-315-3398",
            "fax_number": "406-315-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDA",
        "first_name": "BRENTON",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MT",
            "license": "9567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028171",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.