MR. BRENT WILLIAM FAIRCHILD PA-C
NPI 1174090393
Physician Assistant in Webster, NY
About Mr. Brent William Fairchild Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRENT WILLIAM FAIRCHILD PA-C (NPI 1174090393) is an individual physician assistant in Webster, New York, licensed in New York (025179) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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. Brent William Fairchild 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Strong Memorial Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Brent Fairchild's NPI number?
The NPI number for Brent Fairchild is 1174090393. It was assigned to this individual provider in the NPPES registry on October 25, 2018.
Where is Brent Fairchild located?
Brent Fairchild practices at 1081 Bright Stream Way, Webster, NY 14580. The listed phone number is (585) 410-0678.
What is Brent Fairchild's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Brent Fairchild enrolled in Medicare?
Yes. Brent Fairchild 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 Brent Fairchild affiliated with any hospitals?
According to CMS data, Brent Fairchild is affiliated with Strong Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Brent Fairchild was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Brent William Fairchild, PA-C · NPI 1174090393
Physician Assistant physician in Webster, New York. Individual provider, active in the CMS NPPES registry since October 25, 2018.
## Identity
- **NPI:** 1174090393 (Entity type: Individual)
- **Enumerated:** October 25, 2018
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 025179 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1081 BRIGHT STREAM WAY, Webster, NY 14580
- **Phone:** (585) 410-0678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1174090393) · Data from the CMS NPPES public registry.