BRIAN UPPER P.A.
NPI 1073867172
Physician Assistant in Lansing, MI

Active since October 29, 2012PECOS EnrolledAccepts Medicare Assignment
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912(517) 364-9650(517) 364-9605 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Upper P.a. NPPES

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

BRIAN UPPER P.A. (NPI 1073867172) is an individual physician assistant in Lansing, Michigan, licensed in Michigan (5601006451) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1073867172
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN UPPERCredential: P.A.
Location Address1140 E MICHIGAN AVE STE 400Lansing, MI 48912-1806
Mailing Address405 W Greenlawn AveLansing, MI 48910-2898
Fax(517) 364-9605
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 29, 2012
Last NPPES UpdateOctober 2, 2019
NPI 1073867172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006451
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1140 E MICHIGAN AVE STE 400, Lansing, MI 48912

Accepted 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 Upper P.a. 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 ID9032363874
PECOS Enrollment IDI20130204000227
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 2

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.

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.
247 services175 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.
23 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Sparrow Ionia Hospital

Critical Access Hospitals · Ionia, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231331
Location3565 S State RoadIonia, MI 48846 · Ionia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Primary Care)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Nurse Practitioner (Adult Health)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Clinical Cardiac Electrophysiology)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Interventional Cardiology)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912
Internal Medicine (Cardiovascular Disease)
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912

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 Upper's NPI number?

The NPI number for Brian Upper is 1073867172. It was assigned to this individual provider in the NPPES registry on October 29, 2012.

Where is Brian Upper located?

Brian Upper practices at 1140 E Michigan Ave Ste 400, Lansing, MI 48912. The listed phone number is (517) 364-9650.

What is Brian Upper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Upper enrolled in Medicare?

Yes. Brian Upper 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 Upper accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Brian Upper 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 Upper affiliated with any hospitals?

According to CMS data, Brian Upper is affiliated with Mclaren Greater Lansing, Sparrow Carson Hospital, Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Ionia Hospital.

When was this NPI record last updated?

The NPPES record for Brian Upper was last updated on October 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.