DR. BRIAN GEORGE LODER DPM, CWS
NPI 1184629180
Podiatrist - Foot & Ankle Surgery in Clinton Township, MI

Q: What is Brian Loder's NPI number?

The NPI number for Brian Loder is 1184629180. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Brian Loder's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Brian Loder was last updated on November 17, 2022. 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.

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

43391 COMMONS DR, CLINTON TOWNSHIP, MI 48038(586) 329-3895(586) 329-3916 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2022, Oct 28, 2019, Feb 15, 2018 (3 updates tracked since 2018).

On this page

About Dr. Brian George Loder Dpm, Cws NPPES

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

DR. BRIAN GEORGE LODER DPM, CWS (NPI 1184629180) is an individual foot & ankle surgery provider in Clinton Township, Michigan, licensed in Michigan (BL001662) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1184629180

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. BRIAN GEORGE LODERCredential: DPM, CWS

Location Address43391 COMMONS DRClinton Township, MI 48038-1109

Mailing Address15760 19 Mile Rd Ste EClinton Township, MI 48038-6319 · (586) 329-3895 · Fax (586) 329-3916

Phone(586) 329-3895

Fax(586) 329-3916

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 1992

Enumeration DateJune 16, 2005

Last NPPES UpdateNovember 17, 20223 updates tracked since enumeration

NPPES CertifiedNovember 17, 2022

✔ NPI 1184629180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in MI · BL001662

43391 COMMONS DR, Clinton Township, MI 48038

Open in Google Maps ↗

Secondary Practice Location 1

Location 115760 19 Mile Rd Ste EClinton Township, MI 48038-6319 · Phone (586) 329-3895 · Fax (586) 329-3916

Other Identifiers 12

Other10040760007MI · Wellness

Other4855057230MI · Blue Care Network

Medicaid4616745MI

OtherC3980MI · Mcare

OtherP00777182MI · Railroad Medicare

Other101706MI · Great Lakes Health Plan

Other107320MI · Preferred/care Choices

OtherU53759MI · Health Alliance Plan

Other234010003MI · Cigna

Other4616745MI · Molina

Other4638660MI · Aetna

Other4855057230MI · Blue Cross Blue Shield Mi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian George Loder Dpm, Cws 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 ID5193798569

PECOS Enrollment IDI20040820000507

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Loder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brian G. Loder DPM Plc

Same address

Foot & Ankle Surgery

43391 COMMONS DR
Clinton Twp, MI 48038

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1508004920 (586) 329-3895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

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.

248 services115 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

174 services28 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

162 services42 patients

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.

158 services78 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

122 services14 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

108 services15 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

89 services16 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.

89 services58 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

54 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

41 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

38 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services 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.

100/100

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

Scored as part of a group practice

Quality

93.63

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN G. LODER DPM PLC

Podiatrist (Foot & Ankle Surgery)

43391 COMMONS DR
CLINTON TWP, MI 48038

Macomb County (586) 329-3895

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 Loder's NPI number?

The NPI number for Brian Loder is 1184629180. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Brian Loder located?

Brian Loder practices at 43391 Commons Dr, Clinton Township, MI 48038. The listed phone number is (586) 329-3895.

What is Brian Loder's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brian Loder enrolled in Medicare?

Yes. Brian Loder 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.

Which organization bills Medicare for Brian Loder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Loder reassigns Medicare benefits to Brian G. Loder DPM Plc (Clinton Twp, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Loder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Loder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Brian Loder 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 Loder affiliated with any hospitals?

According to CMS data, Brian Loder is affiliated with Henry Ford Macomb Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Brian Loder was last updated on November 17, 2022. 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.