Brian Alexander Peshek, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301080097 Issued in MI

Practice address

1500 Abbot Rd Ste 400
East Lansing, MI 48823-1956

Phone

(517) 332-0100

Fax

(517) 332-0356

NPI assigned

Apr 18, 2007

Last updated

Jan 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Otolaryngology

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Michigan Ear Nose and Throat PCGroup PAC ID 1052363801, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Merit-based Incentive Payment System (MIPS)

Final score

83.49 of 100Reported as group

Quality

89.95

Promoting interoperability

84

Improvement activities

40

Cost

68.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mid Michigan Ear Nose and Throat PC

  • Otolaryngology Physician
  • East Lansing, MI
  • NPI 1326133398
  Medicare reassignment Care Compare group NPD
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  NPD (past)
• Mid Michigan Ear Nose & Throat, P.C.

  • Audiologist
  • East Lansing, MI
  • NPI 1497056246
  NPD (past)
• Sagebrush E.N.T., Inc.

  • Otolaryngic Allergy Physician
  • Gillette, WY
  • NPI 1528261161
  NPD (past)

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

• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba Thoracic Cardiovascular Institute

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1952528572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231956",
            "telephone_number": "517-332-0100",
            "fax_number": "517-332-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231956",
            "telephone_number": "517-332-0100",
            "fax_number": "517-332-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESHEK",
        "first_name": "BRIAN",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WY",
            "license": "7733A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301080097",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "WY",
            "license": "7733A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952528572",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W21458",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W21454",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Kris Pelowski, DO, MPH
• Ronald B. Penfield, MSW
• Elizabeth Ana Peralta, LMSW
• Richelle Elana Perkins
• Eugene Pernell Jr., PHD
• Peter Foster-Fishman, Psy.D.
• Peter H. Lauber, PH.D.,P.C.
• Michael K Peters, DDS MS
• Van-Anh Tran Peters, DDS
• Kim Marie Pfotenhauer, D.O.

• Otolaryngology Physician in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.