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BRIAN DAVID HENRY M.D.
NPI 1245492842
Surgery in Plattsburgh, NY

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 12901(518) 561-6410(518) 562-7542 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian David Henry M.d. NPPES

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

BRIAN DAVID HENRY M.D. (NPI 1245492842) is an individual surgery provider in Plattsburgh, New York, licensed in New York (280443) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1245492842
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRIAN DAVID HENRYCredential: M.D.
Location Address214 CORNELIA ST, SUITE 102Plattsburgh, NY 12901-2317
Mailing Address214 Cornelia St, Suite 102Plattsburgh, NY 12901-2317 · (518) 561-6410 · Fax (518) 562-7542
Phone(518) 561-6410
Fax(518) 562-7542
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateJuly 28, 2016
✔ NPI 1245492842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 280443
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
214 CORNELIA ST, Plattsburgh, NY 12901
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Other Identifiers 2

Medicare UPINJ400265010NY
Medicaid04207714NY

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

Brian David Henry M.d. 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 ID42451403
PECOS Enrollment IDI20151222000097
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
81 services81 patients
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.
78 services56 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.
38 services24 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
32 services32 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.
30 services30 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.28
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.51 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier13 claims470 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Pharmacy (Institutional Pharmacy)
214 CORNELIA ST
PLATTSBURGH, NY 12901
Clinton County (518) 562-7155
HANNA BOUTROS SLIM M.D.
Internal Medicine (Cardiovascular Disease)
214 CORNELIA ST, SUITE 102
PLATTSBURGH, NY 12901
Clinton County (518) 561-6410
STUART M. HOFFMAN M.D.
Surgery
214 CORNELIA ST, SUITE 102
PLATTSBURGH, NY 12901
Clinton County (518) 561-6410
DEBORAH P. GARDINER PT, ATC, CHT
Physical Therapist (Hand)
214 CORNELIA ST, SUITE 103
PLATTSBURGH, NY 12901
Clinton County (518) 314-3371
ALBERT E ABBOTT JR. MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
214 CORNELIA ST, SUITE 201
PLATTSBURGH, NY 12901
Clinton County (518) 562-7993
DR. MARISSA RAE MATARRESE MD
Plastic Surgery
214 CORNELIA ST, #103
PLATTSBURGH, NY 12901
Clinton County (518) 562-7771
MS. MEGAN FORTTRELL BAKER PA
Physician Assistant (Medical)
214 CORNELIA ST, SUITE 203
PLATTSBURGH, NY 12901
Clinton County (518) 563-2404

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 Henry's NPI number?

The NPI number for Brian Henry is 1245492842. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Brian Henry located?

Brian Henry practices at 214 Cornelia St Suite 102, Plattsburgh, NY 12901. The listed phone number is (518) 561-6410.

What is Brian Henry's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Henry enrolled in Medicare?

Yes. Brian Henry 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 Henry affiliated with any hospitals?

According to CMS data, Brian Henry is affiliated with Adirondack Medical Center - Saranac Lake, Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Brian Henry was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.