DR. BRIAN SILVIA M.D.
NPI 1124173034
Orthopaedic Surgery in Dubuque, IA

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
1500 ASSOCIATES DR, DUBUQUE, IA 52002(563) 584-4460(563) 584-4395 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Silvia M.d. NPPES

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

DR. BRIAN SILVIA M.D. (NPI 1124173034) is an individual orthopaedic surgery provider in Dubuque, Iowa, licensed in Iowa (MD-42906) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and is a graduate of University Of Connecticut School Of Medicine (2006).

NPPES Registry Identity

NPI1124173034
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRIAN SILVIACredential: M.D.
Location Address1500 ASSOCIATES DRDubuque, IA 52002-2201
Mailing Address1500 Associates DrDubuque, IA 52002-2201 · (563) 584-4100 · Fax (563) 584-4110
Fax(563) 584-4395
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2006
Enumeration DateJanuary 24, 2007
Last NPPES UpdateSeptember 23, 2015
NPI 1124173034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IA · MD-42906
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1500 ASSOCIATES DR, Dubuque, IA 52002

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

Dr. Brian Silvia 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.

PECOS PAC ID547419277
PECOS Enrollment IDI20151009001175
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 23

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
122 services86 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.
99 services97 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.
96 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
79 services79 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
76 services59 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
66 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Allen Hospital

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160110
Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County
Emergency services Birthing friendly

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161303
Location201 East J AvenueGrundy Center, IA 50638 · Grundy County
Emergency services

Community Memorial Hospital Medical Center

Critical Access Hospitals · Sumner, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161320
Location909 West First StreetSumner, IA 50674 · Bremer County
Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52002 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier24 claims24 services$57.11 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Practitioner (Family)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Dermatology
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Physical Medicine & Rehabilitation
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Anesthetist, Certified Registered
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Nurse Practitioner (Family)
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Obstetrics & Gynecology
1500 ASSOCIATES DR
DUBUQUE, IA 52002
Physician Assistant
1500 ASSOCIATES DR
DUBUQUE, IA 52002

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 Silvia's NPI number?

The NPI number for Brian Silvia is 1124173034. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Brian Silvia located?

Brian Silvia practices at 1500 Associates Dr, Dubuque, IA 52002. The listed phone number is (563) 584-4460.

What is Brian Silvia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Silvia enrolled in Medicare?

Yes. Brian Silvia 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 Silvia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Brian Silvia 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 Silvia affiliated with any hospitals?

According to CMS data, Brian Silvia is affiliated with Unitypoint Health - Marshalltown, Allen Hospital, Grundy County Memorial Hospital, Community Memorial Hospital Medical Center and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Brian Silvia was last updated on September 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.