1. Home
  2. Directory
  3. Georgia
  4. Athens
  5. Physician Assistant
  6. NPI Profile

MR. TIAGO POLESELLI BRUNIERA PA-C
NPI 1164858650
Physician Assistant - Surgical in Athens, GA

Active since September 17, 2013PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
1199 PRINCE AVE FL 2, ATHENS, GA 30606(706) 475-1700(706) 475-1790 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2018, Jun 25, 2018, Feb 23, 2017 (3 updates tracked since 2017).

About Mr. Tiago Poleselli Bruniera Pa-c NPPES

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

MR. TIAGO POLESELLI BRUNIERA PA-C (NPI 1164858650) is an individual surgical provider in Athens, Georgia, licensed in Georgia (007644) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164858650
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TIAGO POLESELLI BRUNIERACredential: PA-C
Location Address1199 PRINCE AVE FL 2Athens, GA 30606
Mailing Address2727 Paces Ferry Road Se, Suite 1-1100 (attn: Denise)Atlanta, GA 30339 · (470) 271-3421
Phone(706) 475-1700
Fax(706) 475-1790
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJuly 12, 20183 updates tracked since enumeration
✔ NPI 1164858650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 007644
1199 PRINCE AVE FL 2, Athens, GA 30606
Open in Google Maps ↗

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

Mr. Tiago Poleselli Bruniera Pa-c 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 ID6002126141
PECOS Enrollment IDI20151102002441
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

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 Tiago Bruniera's NPI number?

The NPI number for Tiago Bruniera is 1164858650. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Tiago Bruniera located?

Tiago Bruniera practices at 1199 Prince Ave Fl 2, Athens, GA 30606. The listed phone number is (706) 475-1700.

What is Tiago Bruniera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tiago Bruniera enrolled in Medicare?

Yes. Tiago Bruniera 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.

Is Tiago Bruniera affiliated with any hospitals?

According to CMS data, Tiago Bruniera is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tiago Bruniera was last updated on July 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.