DR. BRIAN D LEWIS MD
NPI 1205888948
Surgery - Vascular Surgery in Milwaukee, WI
NPI Status: Active since May 17, 2006
Contact Information
9200 W WISCONSIN AVE
VASCULAR SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-9160
Fax: (414) 805-9170
- Individual
- Male
- Years of Experience 29
- Surgery
- Vascular Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRIAN LEWIS
This page provides the complete NPI Profile along with additional information for Brian Lewis, a provider established in Milwaukee, Wisconsin with a medical specialization in Surgery, focusing in vascular surgery and more than 29 years of experience. He graduated from Southern Illinois University School Of Medicine in 1997. The healthcare provider is registered in the NPI registry with number 1205888948 assigned on May 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 40189 (WI). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1205888948
- Provider Name
- DR. BRIAN D LEWIS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9200 W WISCONSIN AVE VASCULAR SURGERY MILWAUKEE, WI 53226
- Location Phone
- (414) 805-9160
- Location Fax
- (414) 805-9170
- Mailing Address
- 9200 W WISCONSIN AVE VASCULAR SURGERY MILWAUKEE, WI 53226
- Mailing Phone
- (414) 805-9160
- Mailing Fax
- (414) 805-9170
- Medical School Name
- SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 02-09-2021
- Code Navigator
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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 40189
- License State
- WI
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
000018557Q | OTHER (01) | HUMANA | |
1205888948 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Brian Lewis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Brian Lewis 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
PECOS PAC ID: 2567452907
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040517000779
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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.
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 45-59 minutes
Spinal fusion
Ultrasound of both sides of head and neck blood flow
Ultrasound of leg arteries or artery grafts
Ultrasound of one arm arteries or artery grafts
Ultrasound of one leg arteries or artery grafts
Ultrasound study of arm and leg arteries
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 12 times for 12 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 39 times for 38 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 37 times for 35 patientsThis 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 56 times for 50 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 1-10 patientsThis 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 16 times for 16 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 163 times for 156 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 13 times for 11 patientsAn ultrasound of arm arteries or artery grafts is a non-invasive imaging test. It uses sound waves to create pictures of the arteries in your arm or of an artery graft. This helps to check blood flow and identify any blockages or abnormalities. It's painless and safe.
This service was performed 14 times for 13 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
This service was performed 113 times for 93 patientsAn ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
This service was performed 212 times for 194 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 23 times for 23 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.73 for a new patient copayment and $16.84 for an established patient copayment.
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 53226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brian Lewis is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
COMMUNITY MEMORIAL HOSPITAL | W180 N8085 TOWN HALL RD MENOMONEE FALLS, WI 53051 | (262) 251-1000 | Acute Care Hospitals | |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL | 9200 W WISCONSIN AVE MILWAUKEE, WI 53226 | (414) 805-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 0 | 5 | 8 | 8 | 8 | 9 | 4 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 0 | 5 | 16 | 8 | 16 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 0 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 8 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1205888948 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PAUL WINDISCH PHARM.D.
Pharmacist
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
MISS BARBARA SZLENDAKOVA M.S.
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
MR. ERIN WILLIAM POOLE CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
PATIENT FINANCIAL SERVICES
MILWAUKEE, WI
ZIP 53226
MS. DEBRA J. POLIAK CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
PATIENT FINANCIAL SERVICES
MILWAUKEE, WI
ZIP 53226
MR. SCOTT A. KUNKEL CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
PATIENT FINANCIAL SERVICES
MILWAUKEE, WI
ZIP 53226
MS. KATHLEEN M. SNEIDER CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
PATIENT FINANCIAL SERVICES
MILWAUKEE, WI
ZIP 53226
MR. EDWIN PATT JR. CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
PATIENT FINANCIAL SERVICES
MILWAUKEE, WI
ZIP 53226
AMY SWANSON M.S., C.G.C.
Genetic Counselor, MS
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
DR. KEVIN R. REGNER M.D.
Internal Medicine
(Nephrology)
9200 W WISCONSIN AVE
DIVISION OF NEPHROLOGY
MILWAUKEE, WI
ZIP 53226
DR. THOMAS CLARK GAMBLIN M.D.
Surgery
(Surgical Oncology)
9200 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53226
DR. JILL C COSTELLO MD
Internal Medicine
(Rheumatology)
9200 W WISCONSIN AVE
FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI
ZIP 53226
DR. DWIGHT P CRUIKSHANK MD
Obstetrics & Gynecology
9200 W WISCONSIN AVE
FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI
ZIP 53226
MS. SHANNON N COAKLEY PA
Physician Assistant
9200 W WISCONSIN AVE
HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI
ZIP 53226
DR. KULWINDER S DUA MD
Internal Medicine
(Gastroenterology)
9200 W WISCONSIN AVE
FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI
ZIP 53226
DR. MOHAMMED S DHAMEE MD
Anesthesiology
9200 W WISCONSIN AVE
HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI
ZIP 53226
MS. KATHRYN R JOHNSON PA-C
Physician Assistant
(Medical)
9200 W WISCONSIN AVE
FROEDTERT & MED COLLEGE CLIN - EAST
MILWAUKEE, WI
ZIP 53226
DR. WILLIAM DENNIS FOLEY MD
Radiology
(Diagnostic Radiology)
9200 W WISCONSIN AVE
DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226
DR. THOMAS A GENNARELLI MD
Neurological Surgery
9200 W WISCONSIN AVE
FROEDTERT & MED COLLEGE CLIN - WEST
MILWAUKEE, WI
ZIP 53226
DR. PETER M LAYDE MD
Family Medicine
9200 W WISCONSIN AVE
FAMILY MEDICINE PRIMARY CARE 4TH FL
MILWAUKEE, WI
ZIP 53226
DR. ROBERT R LESCHKE MD
Emergency Medicine
9200 W WISCONSIN AVE
HOSPITAL BASED @ FROEDTERT HOSP.
MILWAUKEE, WI
ZIP 53226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205888948, enumerated as an "individual" on May 17, 2006.
The provider is located at 9200 W WISCONSIN AVE VASCULAR SURGERY MILWAUKEE, WI 53226 and the phone number is (414) 805-9160.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.
Brian Lewis is affiliated with: COMMUNITY MEMORIAL HOSPITAL and FROEDTERT MEMORIAL LUTHERAN HOSPITAL.