DR. BRIAN MICHAEL FISHMAN D.O., M.S.
NPI 1225391824
Hospitalist in Saint Louis, MO

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
3015 N BALLAS RD, SAINT LOUIS, MO 63131(314) 996-5772(314) 996-7691 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 4, 2021, Jan 3, 2020 (2 updates tracked since 2020).

About Dr. Brian Michael Fishman D.o., M.s. NPPES

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

DR. BRIAN MICHAEL FISHMAN D.O., M.S. (NPI 1225391824) is an individual hospitalist provider in Saint Louis, Missouri, licensed in Missouri (2015043478) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1225391824
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. BRIAN MICHAEL FISHMANCredential: D.O., M.S.
Location Address3015 N BALLAS RDSaint Louis, MO 63131-2329
Mailing Address3015 N Ballas RdSaint Louis, MO 63131-2329 · (314) 996-5772 · Fax (314) 996-7691
Fax(314) 996-7691
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
NPI 1225391824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · 2015043478
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2015043478 (MO)
3015 N BALLAS RD, Saint Louis, MO 63131

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

Dr. Brian Michael Fishman D.o., M.s. 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 ID6608171210
PECOS Enrollment IDI20160219000268
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 7

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 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.
461 services205 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
200 services189 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services87 patients
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.
46 services35 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.
42 services42 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
3015 N BALLAS RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63131
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131
Physician Assistant
3015 N BALLAS RD
SAINT LOUIS, MO 63131
Hospitalist
3015 N BALLAS RD
SAINT LOUIS, MO 63131
Dietitian, Registered
3015 N BALLAS RD
SAINT LOUIS, MO 63131
Internal Medicine (Hematology & Oncology)
3015 N BALLAS RD
SAINT LOUIS, MO 63131
Pathology (Anatomic Pathology & Clinical Pathology)
3015 N BALLAS RD, DEPARTMENT OF PATHOLOGY
SAINT LOUIS, MO 63131
Anesthesiology
3015 N BALLAS RD
SAINT LOUIS, MO 63131

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 Fishman's NPI number?

The NPI number for Brian Fishman is 1225391824. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Brian Fishman located?

Brian Fishman practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5772.

What is Brian Fishman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Brian Fishman enrolled in Medicare?

Yes. Brian Fishman 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 Brian Fishman affiliated with any hospitals?

According to CMS data, Brian Fishman is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Brian Fishman was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.