BRETT BILLINGS NP
NPI 1174126346
Nurse Practitioner - Family in Medford, OR

NPI Status: Active since November 19, 2020

Contact Information

3156 STATE ST
MEDFORD, OR
ZIP 97504
Phone: (541) 773-9772
Fax: (541) 773-1113

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  • Individual
  • Male
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Opted-Out Medicare

About BRETT BILLINGS

This page provides the complete NPI Profile along with additional information for Brett Billings, a provider established in Medford, Oregon with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1174126346 assigned on November 2020. The practitioner's primary taxonomy code is 363LF0000X with license number F10201034 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1174126346
Provider Name
BRETT BILLINGS NP
Gender
Male
Entity Type
Individual
Location Address
3156 STATE ST MEDFORD, OR 97504
Location Phone
(541) 773-9772
Location Fax
(541) 773-1113
Mailing Address
3156 STATE ST MEDFORD, OR 97504
Mailing Phone
(541) 773-9772
Mailing Fax
(541) 773-1113
Is Sole Proprietor?
No
Enumeration Date
11-19-2020
Last Update Date
03-24-2022
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A nurse practitioner (NP) like Brett Billings is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brett Billings opted out of Medicare effective on 10-01-2024 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F10201034
License State
TX

Medicare Participation & PECOS Enrollment Status

Brett Billings is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-01-2024

  • Opt-Out End Date: 10-01-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

This service was performed 17 times for 17 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 112 times for 71 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 87 times for 55 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 49 times for 32 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 28 times for 28 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97504 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.82
  • Minimum New Patient Price $54.96
  • Maximum New Patient Price $166.64
  • Average New Patient Copayment $21.2
  • Minimum New Patient Copayment $13.74
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.16
  • Minimum Established Patient Price $17.68
  • Maximum Established Patient Price $136.19
  • Average Established Patient Copayment $24.29
  • Minimum Established Patient Copayment $4.42
  • Maximum Established Patient Copayment $34.04

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174126346, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 2 + 2 + 1 + 2 + 3 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1174126346.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
3156 STATE ST
MEDFORD, OR 97504
Dermatology
3156 STATE ST
MEDFORD, OR 97504
Clinical Medical Laboratory
3156 STATE ST
MEDFORD, OR 97504
Massage Therapist
3156 STATE ST
MEDFORD, OR 97504
General Practice
3156 STATE ST
MEDFORD, OR 97504
Nurse Practitioner
3156 STATE ST
MEDFORD, OR 97504
Nurse Practitioner (Family)
3156 STATE ST
MEDFORD, OR 97504
Peer Specialist
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Physician Assistant
3156 STATE ST
MEDFORD, OR 97504
Behavior Analyst
3156 STATE ST
MEDFORD, OR 97504
Behavior Analyst
3156 STATE ST
MEDFORD, OR 97504
Nurse Practitioner (Psychiatric/Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Marriage & Family Therapist
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Psychiatry & Neurology (Psychiatry)
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Counselor (Mental Health)
3156 STATE ST
MEDFORD, OR 97504
Behavior Analyst
3156 STATE ST
MEDFORD, OR 97504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174126346, enumerated as an "individual" on November 19, 2020.

The provider is located at 3156 STATE ST MEDFORD, OR 97504 and the phone number is (541) 773-9772.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.