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BRIAN E. COUSE MD
NPI 1013904812
Family Medicine in Red Oak, IA

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
1400 SENATE AVE STE 108, RED OAK, IA 51566(712) 623-7250(712) 623-7257 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian E. Couse Md NPPES

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

BRIAN E. COUSE MD (NPI 1013904812) is an individual family medicine provider in Red Oak, Iowa, licensed in Iowa (33941) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Montgomery County Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1013904812
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN E. COUSECredential: MD
Location Address1400 SENATE AVE STE 108Red Oak, IA 51566-1271
Mailing Address1400 Senate Ave Ste 108Red Oak, IA 51566-1271 · (712) 623-7250 · Fax (712) 623-7257
Phone(712) 623-7250
Fax(712) 623-7257
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1013904812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 33941
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 33941 (IA)
1400 SENATE AVE STE 108, Red Oak, IA 51566
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Other Identifiers 2

Medicaid1013904912IA
Medicaid47068731710NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian E. Couse Md 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 ID1355483272
PECOS Enrollment IDI20100114000846
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.

Hospital Affiliations CMS Care Compare

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

Montgomery County Memorial Hospital

Critical Access Hospitals · Red Oak, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161363
Location2301 Eastern AvenueRed Oak, IA 51566 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51566 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers88 claims109 services$5.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims22 services$0.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier14 claims14 services$102.58 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier15 claims33 services$43.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier17 claims17 services$23.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier19 claims19 services$20.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY JO ANN WATTS
Nurse Practitioner (Family)
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7280
DANIELA M DONOSO PENA MD
Internal Medicine
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7280
DR. WILLIAM BUTZ M.D.
Family Medicine
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7250
LIZABETH JEAN JOHNSON APRN
Nurse Practitioner (Family)
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7250
KEVIN QUINN MD
Internal Medicine
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7280
EDWARD PILLER MD
Internal Medicine
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7280
KELSEY BROOKE JOHNSON ARNP
Nurse Practitioner (Family)
1400 SENATE AVE STE 108
RED OAK, IA 51566
Montgomery County (712) 623-7000

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 Couse's NPI number?

The NPI number for Brian Couse is 1013904812. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Brian Couse located?

Brian Couse practices at 1400 Senate Ave Ste 108, Red Oak, IA 51566. The listed phone number is (712) 623-7250.

What is Brian Couse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Couse enrolled in Medicare?

Yes. Brian Couse 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.

What insurance does Brian Couse accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Brian Couse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Couse affiliated with any hospitals?

According to CMS data, Brian Couse is affiliated with Montgomery County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Couse was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.