BRIAN A VERNON MD
NPI 1265639280
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Providence, UT

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
595 W 465 N, PROVIDENCE, UT 84332(385) 238-3900(385) 238-3901 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Sep 23, 2021, Apr 3, 2019 and 1 more (4 updates tracked since 2019).

About Brian A Vernon Md NPPES

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

BRIAN A VERNON MD (NPI 1265639280) is an individual orthopaedic surgery of the spine provider in Providence, Utah, licensed in Utah (8591609-1205) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Bear Lake Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1265639280
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameBRIAN A VERNONCredential: MD
Location Address595 W 465 NProvidence, UT 84332
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500 · Fax (801) 475-3494
Fax(385) 238-3901
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1265639280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in UT · 8591609-1205
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 8591609-1205 (UT)
595 W 465 N, Providence, UT 84332

Accepted Insurance

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 A Vernon 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 ID8022267210
PECOS Enrollment IDI20130724000728
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.

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.
48 services48 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
37 services37 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.
23 services20 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
20 services18 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.
17 services16 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID
OwnershipGovernment - Local
CMS Certification Number131316
Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County
Emergency services

Franklin County Medical Center

Critical Access Hospitals · Preston, ID
OwnershipVoluntary non-profit - Other
CMS Certification Number131322
Location44 North First EastPreston, ID 83263 · Franklin County
Emergency services

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT
OwnershipProprietary
CMS Certification Number460017
Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physical Therapist
595 W 465 N
PROVIDENCE, UT 84332
Family Medicine
595 W 465 N
PROVIDENCE, UT 84332
Pediatrics
595 W 465 N
PROVIDENCE, UT 84332
Physical Therapist
595 W 465 N
PROVIDENCE, UT 84332
Physician Assistant
595 W 465 N
PROVIDENCE, UT 84332

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 Vernon's NPI number?

The NPI number for Brian Vernon is 1265639280. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Brian Vernon located?

Brian Vernon practices at 595 W 465 N, Providence, UT 84332. The listed phone number is (385) 238-3900.

What is Brian Vernon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Brian Vernon enrolled in Medicare?

Yes. Brian Vernon 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.

What insurance does Brian Vernon accept?

Health plans from Antidote Health Plan of Arizona, Inc., BridgeSpan Health Company, CareSource, Molina Healthcare and Regence BlueCross BlueShield of Utah and 2 other insurers list Brian Vernon 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 Vernon affiliated with any hospitals?

According to CMS data, Brian Vernon is affiliated with Bear Lake Memorial Hospital, Franklin County Medical Center, Logan Regional Hospital, Brigham City Community Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Brian Vernon was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.