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DR. BRYAN DAVID NETOLICKY MD
NPI 1255405338
Clinical Neuropsychologist in Coralville, IA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
1006 5TH ST STE 100, CORALVILLE, IA 52241(319) 354-5275(319) 354-5272 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bryan David Netolicky Md NPPES

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

DR. BRYAN DAVID NETOLICKY MD (NPI 1255405338) is an individual clinical neuropsychologist in Coralville, Iowa, licensed in Iowa (36197) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2003).

NPPES Registry Identity

NPI1255405338
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. BRYAN DAVID NETOLICKYCredential: MD
Location Address1006 5TH ST STE 100Coralville, IA 52241-2901
Mailing Address1006 5th St Ste 100Coralville, IA 52241-2901 · (319) 354-5275 · Fax (319) 354-5272
Phone(319) 354-5275
Fax(319) 354-5272
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2003
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255405338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IA · 36197
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1006 5TH ST STE 100, Coralville, IA 52241
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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. Bryan David Netolicky Md 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 ID8325072044
PECOS Enrollment IDI20050922000352
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 Bryan Netolicky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedar Centre Psychiatric Group
22 mi
Psychiatry
1730 1ST AVE NE
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • 12 clinicians in this Medicare group
NPI 1558338012 (319) 365-3993

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 3

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.
355 services136 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
145 services57 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.
46 services31 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

ERIN MARGARET KELLY MA
Audiologist
1006 5TH ST STE 100
CORALVILLE, IA 52241
Johnson County (319) 338-6043

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 Bryan Netolicky's NPI number?

The NPI number for Bryan Netolicky is 1255405338. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Bryan Netolicky located?

Bryan Netolicky practices at 1006 5th St Ste 100, Coralville, IA 52241. The listed phone number is (319) 354-5275.

What is Bryan Netolicky's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Bryan Netolicky enrolled in Medicare?

Yes. Bryan Netolicky 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 Bryan Netolicky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Netolicky reassigns Medicare benefits to Cedar Centre Psychiatric Group (Cedar Rapids, IA). 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 Bryan Netolicky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Netolicky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Bryan Netolicky 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 Bryan Netolicky affiliated with any hospitals?

According to CMS data, Bryan Netolicky is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Netolicky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.