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DR. BRIAN D TOWELL M.D.
NPI 1265420608
Pathology - Anatomic Pathology & Clinical Pathology in San Antonio, TX

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
85.45/100
CMS Quality Rating
9600 DATAPOINT DR, SAN ANTONIO, TX 78229(210) 892-3750(210) 617-4692 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brian D Towell M.d. NPPES

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

DR. BRIAN D TOWELL M.D. (NPI 1265420608) is an individual anatomic pathology & clinical pathology provider in San Antonio, Texas, licensed in Texas (G5699) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1983).

NPPES Registry Identity

NPI1265420608
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. BRIAN D TOWELLCredential: M.D.
Location Address9600 DATAPOINT DRSan Antonio, TX 78229-2028
Mailing Address9115 Cross Mountain TrlSan Antonio, TX 78255-2017 · (210) 689-0859 · Fax (210) 617-4692
Phone(210) 892-3750
Fax(210) 617-4692
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1983
Enumeration DateOctober 10, 2005
Last NPPES UpdateJanuary 23, 2008
✔ NPI 1265420608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · G5699
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
9600 DATAPOINT DR, San Antonio, TX 78229
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified81P532
Medicare UPINE41651
Medicaid12799105TX
Other00RM40Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First 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 D Towell 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 ID1153358742
PECOS Enrollment IDI20050726000322
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 Reassignments

3

Medicare enrollment records show Brian Towell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Associates Of San Antonio, L.L.P.
0.1 mi
Anatomic Pathology & Clinical Pathology
9720 DATAPOINT DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1407844848 (210) 892-3700
Uvalde County Hospital Authority
75 mi
Rural Health
1800 GARNER FIELD RD
Uvalde, TX 78801
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1740288505 (Texas)
  • 47 clinicians in this Medicare group
NPI 1689490211 (830) 278-4453
Gastroenterology Consultants Of South Texas, PLLC
238 mi
Gastroenterology
512 VICTORIA LN STE 2
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1821127002 (956) 365-4400

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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
4,253 services1,215 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
1,090 services658 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
755 services309 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
646 services432 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
188 services154 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
121 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Fort Duncan Medical Center

Acute Care Hospitals · Eagle Pass, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450092
Location3333 N Foster Maldonado BlvdEagle Pass, TX 78852 · Maverick County
Emergency services Birthing friendly

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

85.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.89
Improvement Activities40

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.

DR. THOMAS F KARDOS MD
Pathology (Cytopathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. VIRGANEYCE KATRICE LYONS-BOUDREAUX MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
CONSTANTINE THEOHARIS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. ROBERT LEE HUTTON SR. MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. SHARI ADDINGTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700
DR. TERRANCE A MCBURNEY MD
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3715
DR. MARGARET S WEHNER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3753
ABBY MORGAN RICHMOND M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9600 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 892-3700

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 Towell's NPI number?

The NPI number for Brian Towell is 1265420608. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Brian Towell located?

Brian Towell practices at 9600 Datapoint Dr, San Antonio, TX 78229. The listed phone number is (210) 892-3750.

What is Brian Towell's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Brian Towell enrolled in Medicare?

Yes. Brian Towell 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 organizations bill Medicare for Brian Towell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Towell reassigns Medicare benefits to 3 organizations: Pathology Associates Of San Antonio, L.L.P. (San Antonio, TX), Uvalde County Hospital Authority (Uvalde, TX) and Gastroenterology Consultants Of South Texas, PLLC (Harlingen, TX). Each 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 Towell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Towell accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First, Oscar Insurance Company and UnitedHealthcare list Brian Towell 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 Towell affiliated with any hospitals?

According to CMS data, Brian Towell is affiliated with Peterson Regional Medical Center, Fort Duncan Medical Center, Val Verde Regional Medical Center, Methodist Hospital and Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Brian Towell was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.