DR. BRIAN PICKERING DO
NPI 1023677127
Family Medicine in Erie, PA

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Pickering Do NPPES

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

DR. BRIAN PICKERING DO (NPI 1023677127) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OT019263) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1023677127
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN PICKERINGCredential: DO
Location Address232 W 25TH STErie, PA 16544-0001
Mailing Address713 E 30th StErie, PA 16504-1214
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateJune 12, 2019
NPI 1023677127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OT019263
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.

232 W 25TH ST, Erie, PA 16544

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

Dr. Brian Pickering Do 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 ID4284000365
PECOS Enrollment IDI20221013003455
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.

Areas of Expertise CMS Part B claims 6

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.
65 services21 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.
42 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services14 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16544 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology
232 W 25TH ST
ERIE, PA 16544
Surgery
232 W 25TH ST
ERIE, PA 16544
Obstetrics & Gynecology
232 W 25TH ST
ERIE, PA 16544
Nurse Anesthetist, Certified Registered
232 W 25TH ST
ERIE, PA 16544
Pathology (Clinical Pathology/Laboratory Medicine)
232 W 25TH ST
ERIE, PA 16544
Nurse Anesthetist, Certified Registered
232 W 25TH ST, 7TH FLOOR
ERIE, PA 16544
Emergency Medicine
232 W 25TH ST
ERIE, PA 16544
Pharmacist
232 W 25TH ST
ERIE, PA 16544

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 Pickering's NPI number?

The NPI number for Brian Pickering is 1023677127. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Brian Pickering located?

Brian Pickering practices at 232 W 25th St, Erie, PA 16544. The listed phone number is (814) 452-5000.

What is Brian Pickering's specialty?

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

Is Brian Pickering enrolled in Medicare?

Yes. Brian Pickering 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.

Is Brian Pickering affiliated with any hospitals?

According to CMS data, Brian Pickering is affiliated with Saint Vincent Hospital and Warren General Hospital.

When was this NPI record last updated?

The NPPES record for Brian Pickering was last updated on June 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.