JAMES MICHAEL BRIAN M.D.
NPI 1073737540
Radiology - Diagnostic Radiology in Hershey, PA
About James Michael Brian M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES MICHAEL BRIAN M.D. (NPI 1073737540) is an individual diagnostic radiology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD060704L) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 2
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
James Michael Brian M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show James Brian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 clinicians in this Medicare group
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania and Florida enrollments
- Also billed through NPI 1457824013 (Florida)
- 994 clinicians in this Medicare group
Weslaco, TX 78596
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 James Brian's NPI number?
The NPI number for James Brian is 1073737540. It was assigned to this individual provider in the NPPES registry on April 13, 2007.
Where is James Brian located?
James Brian practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.
What is James Brian's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is James Brian enrolled in Medicare?
Yes. James Brian 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 James Brian's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Brian reassigns Medicare benefits to 3 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Penn State Health Medical Group, LLC (Hershey, PA) and Shi Radiology LLC (Weslaco, TX). 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 James Brian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Brian was last updated on October 20, 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.