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

Q: 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.

Q: What is Brian Upper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Upper was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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: August 16, 2026.

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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 Sparrow Carson Hospital, 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

Phone(517) 364-9650

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

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.

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 Eaton Hospital

Critical Access Hospitals · Charlotte, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231327

Location321 E Harris StreetCharlotte, MI 48813 · Eaton 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.

JESSICA MARY DELCORVO NP-C

Nurse Practitioner (Primary Care)