BRIAN J BEAR MD
NPI 1164535837
Orthopaedic Surgery in Rockford, IL

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
70.99/100
CMS Quality Rating
324 ROXBURY RD, ROCKFORD, IL 61107(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Dec 23, 2019, May 26, 2017 (3 updates tracked since 2017).

About Brian J Bear Md NPPES

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

BRIAN J BEAR MD (NPI 1164535837) is an individual orthopaedic surgery provider in Rockford, Illinois, licensed in Illinois (036095607) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Northwestern University Feinberg Medical School (1991).

NPPES Registry Identity

NPI1164535837
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRIAN J BEARCredential: MD
Location Address324 ROXBURY RDRockford, IL 61107-5090
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1991
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 18, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
NPI 1164535837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036095607
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.
324 ROXBURY RD, Rockford, IL 61107

Other Identifiers 1

Medicaid036095607IL

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 J Bear Md 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 ID7517860505
PECOS Enrollment IDI20080324000017, I20230608001830
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 25

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 hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
312 services268 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
238 services124 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.
184 services139 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
175 services84 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services92 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
100 services70 patients

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Beloit Health System

Acute Care Hospitals · Beloit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520100
Location1969 W Hart RdBeloit, WI 53511 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

70.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61
Promoting Interoperability74
Improvement Activities40
Cost63.98

Referred Medical Equipment & Supplies CMS DME claims 5

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

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$227.31 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier32 claims36 services$50.93 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$193.65 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier36 claims41 services$62.80 avg. paid by Medicare
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3933
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$32.73 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
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Occupational Therapist
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physical Therapist
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant (Surgical)
324 ROXBURY RD
ROCKFORD, IL 61107

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 Bear's NPI number?

The NPI number for Brian Bear is 1164535837. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Brian Bear located?

Brian Bear practices at 324 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 398-9491.

What is Brian Bear's specialty?

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

Is Brian Bear enrolled in Medicare?

Yes. Brian Bear 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 Bear accept?

Health plans from Quartz list Brian Bear 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 Bear affiliated with any hospitals?

According to CMS data, Brian Bear is affiliated with Katherine Shaw Bethea Hospital, Cgh Medical Center, Uw Health, Saint Anthony Medical Center and Beloit Health System.

When was this NPI record last updated?

The NPPES record for Brian Bear was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.