BRIAN A PONGRACZ ACNP-BC
NPI 1053637942
Nurse Practitioner - Acute Care in Redding, CA

Active since April 16, 2010PECOS Enrolled
96.5/100
CMS Quality Rating
2624 EDITH AVE, REDDING, CA 96001(530) 806-1190(530) 229-7946 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 22, 2023, Feb 14, 2023 (2 updates tracked since 2023).

About Brian A Pongracz Acnp-bc NPPES

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

BRIAN A PONGRACZ ACNP-BC (NPI 1053637942) is an individual acute care provider in Redding, California, licensed in California (95012250) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053637942
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRIAN A PONGRACZCredential: ACNP-BC
Location Address2624 EDITH AVERedding, CA 96001-3043
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(530) 229-7946
Sole ProprietorYes
Enumeration DateApril 16, 2010
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1053637942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CA · 95012250
2624 EDITH AVE, Redding, CA 96001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brian A Pongracz Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18

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.
166 services101 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.
84 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 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.
73 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services62 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.
61 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Urology
2624 EDITH AVE
REDDING, CA 96001
Neurological Surgery
2624 EDITH AVE
REDDING, CA 96001
Urology
2624 EDITH AVE
REDDING, CA 96001
Psychiatry & Neurology (Vascular Neurology)
2624 EDITH AVE
REDDING, CA 96001
Psychiatry & Neurology (Vascular Neurology)
2624 EDITH AVE
REDDING, CA 96001

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 Pongracz's NPI number?

The NPI number for Brian Pongracz is 1053637942. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Where is Brian Pongracz located?

Brian Pongracz practices at 2624 Edith Ave, Redding, CA 96001. The listed phone number is (530) 806-1190.

What is Brian Pongracz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brian Pongracz enrolled in Medicare?

Yes. Brian Pongracz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Pongracz was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.