Brian C. Klazynski, M.D
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Portland, ME
NPI 1992935845 · NPPES record last updated Jan 5, 2022
Key facts
- NPI
- 1992935845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- MD25289 (ME)
- Practice address
- 22 Bramhall St
Portland, ME 04102-3134 - Phone
- (207) 662-0111
- NPI assigned
- Jul 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 44
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Texas Medical Branch at Galveston, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Healthcare Partners PA
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Hospital & facility affiliations
- Mainehealth Maine Medical Center
- York Hospital
- Mainehealth Mid Coast Hospital
- Memorial Hospital, the
- Mainehealth Waldo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.51 of 100
- Quality
- 76.67
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NH, ME, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220112000375 | NH | Practitioner - Pathology | 9234367038 | Reassigns benefits to 1 organization |
| I20220112001132 | ME | Practitioner - Pathology | 9234367038 | Reassigns benefits to 2 organizations |
| I20230711001384 | OK | Practitioner - Pathology | 9234367038 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52297 | KY | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD25289 | ME | MD | Anatomic Pathology & Clinical Pathology Physician |
| Q6221 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, PA | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Saint Francis Outreach Services LLC | Current | Accepting new patients | |
| Lab Medicine of Greater Tulsa, P.C. | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
5700 Southwyck Blvd
Toledo, OH 43614
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Interoperability endpoints
- bklazynski522876@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Q6221 | TX | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 52297 | KY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD25289 | ME | Yes |
Addresses
Primary practice location
22 Bramhall St
Portland, ME 04102-3134
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992935845 | Medicaid | ME |
Other providers in Portland, ME
- Rebecca S Kita
- Carri Nix Kivela
- Rabee A Kiwan
- Russell Scott Kizor
- Andrea Shelley Klayman
- Sarah Kleffke
- Jonathan Kleiman
- Emma Elizabeth Klein
- Kayla Marie Klein
- Raymond Martin Klein
All providers in Portland, ME · Anatomic Pathology & Clinical Pathology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.