1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Internal Medicine
  6. NPI Profile

BRIAN ROSBOROUGH
NPI 1013398544
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment
3549 5TH AVE, PITTSBURGH, PA 15213(412) 692-2210 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2021, Jan 14, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Brian Rosborough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN ROSBOROUGH (NPI 1013398544) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD465509) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of University Of Pittsburgh School Of Medicine (2015).

NPPES Registry Identity

NPI1013398544
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameBRIAN ROSBOROUGH
Location Address3549 5TH AVEPittsburgh, PA 15213-3301
Mailing Address3549 5th Ave, Muh Nw628Pittsburgh, PA 15213-3301
Phone(412) 692-2210
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2015
Enumeration DateJune 10, 2015
Last NPPES UpdateMay 24, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2020
✔ NPI 1013398544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD465509
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3549 5TH AVE, Pittsburgh, PA 15213
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Rosborough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941518567
PECOS Enrollment IDI20181211000175
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Brian Rosborough reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
Same address
Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1548433527 (412) 682-2434
Upmc Community Medicine Inc
0.1 mi
Pediatrics
200 LOTHROP ST, SUITE 9055 FORBES TOWER
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1154457570 (412) 647-0943
St Clair Professional Services Inc
7.1 mi
Critical Care Medicine
1000 BOWER HILL RD
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 133 clinicians in this Medicare group
NPI 1326712050 (412) 942-4000
Susquehanna Physician Services
164 mi
Pulmonary Disease
700 HIGH STREET
Williamsport, PA 17701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1083677868 (570) 321-3580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
208 services103 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
115 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
29 services26 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$5.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$67.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Rosborough's NPI number?

The NPI number for Brian Rosborough is 1013398544. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Brian Rosborough located?

Brian Rosborough practices at 3549 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 692-2210.

What is Brian Rosborough's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Brian Rosborough enrolled in Medicare?

Yes. Brian Rosborough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brian Rosborough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Rosborough reassigns Medicare benefits to 4 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Upmc Community Medicine Inc (Pittsburgh, PA), St Clair Professional Services Inc (Pittsburgh, PA) and Susquehanna Physician Services (Williamsport, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Rosborough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Rosborough affiliated with any hospitals?

According to CMS data, Brian Rosborough is affiliated with Upmc Jameson, Upmc Mercy, Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Brian Rosborough was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.