DR. BRIAN LIGHTWINE D.O.
NPI 1154856508
Radiology - Pediatric Radiology in Tucson, AZ

Q: What is Brian Lightwine's NPI number?

The NPI number for Brian Lightwine is 1154856508. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Q: What is Brian Lightwine's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Brian Lightwine was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 24, 2017PECOS EnrolledAccepts Medicare Assignment

97.64/100

CMS Quality Rating

1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-4034 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2018, Apr 24, 2017 (2 updates tracked since 2017).

On this page

About Dr. Brian Lightwine D.o. NPPES

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

DR. BRIAN LIGHTWINE D.O. (NPI 1154856508) is an individual pediatric radiology provider in Tucson, Arizona, licensed in Arizona (010337) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154856508

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameDR. BRIAN LIGHTWINECredential: D.O.

Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330

Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-4034

Phone(520) 694-4034

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 24, 2017

Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration

NPPES CertifiedOctober 16, 2025

✔ NPI 1154856508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in AZ · 010337

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

1625 N CAMPBELL AVE, Tucson, AZ 85719

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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 Lightwine D.o. 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 ID9335498047

PECOS Enrollment IDI20230804002569

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 3

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.

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

21 services16 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

20 services20 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.

15 services14 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.

97.64/100

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

Scored through an Alternative Payment Model

Quality

84.77

Promoting Interoperability

98.67

Improvement Activities

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.

KATELYN DESALVO MD

Pediatrics