Brian P McComb, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4456-23 Issued in WI

Practice address

678 Inverness St
Oregon, WI 53575-3848

Phone

(608) 263-0333

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare Manistee HospitalGroup PAC ID 3072414333, shared by 3 NPIs, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.34 of 100Reported as group

Quality

80.51

Promoting interoperability

91

Improvement activities

40

Cost

78.13

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1669958070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 INVERNESS ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 INVERNESS ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753848",
            "telephone_number": "608-263-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4456-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669958070",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Main Street Quarters
• Joel David Malak, RN, APNP
• Tammy Dee Mandarino, D.D.S.
• Rebecca McCabe
• Mark A McCann, DC
• Kathryn Deborah McComb, PA-C
• Cheryl Sue McGraw, FNP-C, APNP
• Wendy Renee McNall, PT
• Max Edward Melberg, OD
• Laura L Mendyk, MD

• Physician Assistant in Oregon, WI
• Providers in Oregon, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.