Individual provider Active NPI

Richard Shane Brown, M.D.

  • Surgery Physician
  • Westerville, OH
National Provider Identifier
1679538177
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.080268 Issued in OH
Practice address
477 Cooper Rd
Suite 440
Westerville, OH 43081-8053
Phone
(380) 898-5561
Fax
(380) 898-5563
NPI assigned
Apr 18, 2006
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.080268 OH Primary

Addresses

Primary practice location

477 Cooper Rd
Suite 440
Westerville, OH 43081-8053

Mailing address

477 Cooper Rd Ste 440
Westerville, OH 43081-8055
Phone (380) 898-5561

Other identifiers 1

IdentifierTypeStateIssuer
4811552MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20101019001584 OH Practitioner - General Surgery 7113949355 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgeons LLCGroup PAC ID 7214094101, 6 clinicians
Westerville Surgical Specialists LLCGroup PAC ID 6305826439, 7 clinicians
Mount Carmel Health SystemGroup PAC ID 6709793367, 84 clinicians

Practice addresses (Care Compare)

4101 Emerald Pkwy
Suite 220
Dublin, OH 43016-3323
Phone (380) 898-5561

477 Cooper Rd
Westerville, OH 43081-8055
Phone (614) 898-5561

500 S Cleveland Ave
Westerville, OH 43081-8971
Phone (614) 898-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.080268OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westerville Surgical Specialists LLC Surgery CurrentSince Oct 1, 2010 Accepting new patients
Mount Carmel Health System Surgery CurrentSince Oct 3, 2024 Accepting new patients
Acute Care Surgeons LLC CurrentSince Oct 1, 2010 Accepting new patients
Mount Carmel Health System CurrentSince Oct 3, 2024 Accepting new patients
Mount Carmel Health Past Accepting new patients
Brain and Spine Associates PC PastSince Aug 1, 2021 Accepting new patients
Petoskey Surgeons, P.C. Surgery PastSince Apr 1, 1999 Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

85 McNaughten Rd
Ste 350
Columbus, OH 43213
Phone (614) 221-5189

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

477 Cooper Rd
Ste 440
Westerville, OH 43081
Phone (380) 898-5561

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

136 Linden Dr
Ste 104
Winchester, VA 22601

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1679538177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818055",
            "telephone_number": "380-898-5561",
            "fax_number": "380-898-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "380-898-5561",
            "fax_number": "380-898-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHARD",
        "middle_name": "SHANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.080268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4811552",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.