BRIAN KEITH RICH MD
NPI 1063436947
Pain Medicine - Interventional Pain Medicine in Decatur, TX

Q: What is Brian Rich's NPI number?

The NPI number for Brian Rich is 1063436947. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Brian Rich's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Brian Rich was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since July 26, 2006

90.39/100

CMS Quality Rating

1816 S FM 51 STE 800, DECATUR, TX 76234(940) 263-0005(877) 292-3457 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Apr 19, 2018 (2 updates tracked since 2018).

On this page

About Brian Keith Rich Md NPPES

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

BRIAN KEITH RICH MD (NPI 1063436947) is an individual interventional pain medicine provider in Decatur, Texas, licensed in Texas (S9055) and active in the NPI registry since July 2006. He maintains a secondary practice location in Wichita Falls.

NPPES Registry Identity

NPI1063436947

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameBRIAN KEITH RICHCredential: MD

Location Address1816 S FM 51 STE 800Decatur, TX 76234-3792

Mailing Address4020 N Macarthur Blvd Ste 122-321Irving, TX 75038-6419 · (214) 395-1891

Phone(940) 263-0005

Fax(877) 292-3457

Sole ProprietorYes

Enumeration DateJuly 26, 2006

Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1063436947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Licenses✔ Licensed in TX · S9055✔ Licensed in OK · 24887

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 24887 (OK)

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 24887 (OK)

1816 S FM 51 STE 800, Decatur, TX 76234

Open in Google Maps ↗

Secondary Practice Location 1

Location 12211 Midwestern Pkwy Ste 3Wichita Falls, TX 76308-2300 · Phone (940) 263-0005 · Fax (877) 292-3457

Other Identifiers 1

Medicaid200093580AOK

Areas of Expertise CMS Part B claims 28

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.

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

2,057 services130 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

797 services71 patients

Injection, propofol, 10 mg J2704

Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.

493 services22 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.

266 services156 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.

154 services154 patients

Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance 64451

This procedure involves the careful introduction of a pain-relieving solution into the spine or pelvis nerve. A special imaging technology is used for precise placement. It's designed to alleviate discomfort and inflammation in these areas.

95 services79 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

91 services76 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

88 services36 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.

74 services56 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

62 services34 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

62 services34 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

60 services40 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

59 services39 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

47 services29 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

47 services29 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

43 services29 patients

Insertion of peripheral nerve neurostimulator electrode through skin 64555

This procedure involves placing a small electrode under the skin to stimulate peripheral nerves. It helps manage chronic pain by sending mild electrical signals to the nervous system, interrupting pain signals before they reach the brain.

30 services15 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

30 services19 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint 64634

This procedure involves the use of imaging technology to accurately target and destroy nerves in the upper or middle spinal facet joints, which may be causing pain. Each additional facet joint treated follows the same process.

30 services19 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services22 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

26 services23 patients

Insertion of spinal neurostimulator electrode array through skin 63650

24 services13 patients

Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver L8683

A radiofrequency transmitter is an external device used with an implantable neurostimulator receiver. It sends signals to the receiver to help control nerve activity, often used for pain management or treating certain neurological conditions.

24 services23 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

22 services16 patients

Insertion of peripheral nerve neurostimulator electrode through skin 64555

20 services11 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

17 services16 patients

Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming 95972

This procedure involves electronically analyzing an implanted neurostimulator. This device sends electrical pulses to your spinal cord or peripheral nerves to manage pain. The programming is complex, requiring expert analysis to ensure proper functioning.

16 services16 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

11 services11 patients

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.

90.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.79

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

80%152 patients4/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

97%1,245 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

71%653 patients3/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 48% · 547 patients

Patients screened: 50% · 547 patients

85%60 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 447 patients

Patients totalRate: 0% · 447 patients

0%447 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

PRECISION MOLECULAR DIAGNOSTIC LABORATORY

Clinical Medical Laboratory

1816 S FM 51 STE 800
DECATUR, TX 76234

Wise County (512) 596-2328

PEAK SPINE AND SPORTS MEDICINE PLLC

Pain Medicine (Interventional Pain Medicine)

1816 S FM 51 STE 800
DECATUR, TX 76234

Wise County (940) 263-0005

ARRAY PRIMARY CARE

Clinic/Center (Primary Care)

1816 S FM 51 STE 800
DECATUR, TX 76234

Wise County (940) 233-6929

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 Rich's NPI number?

The NPI number for Brian Rich is 1063436947. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Brian Rich located?

Brian Rich practices at 1816 S Fm 51 Ste 800, Decatur, TX 76234. The listed phone number is (940) 263-0005.

What is Brian Rich's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Brian Rich was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.