BRIAN T NAM MD
NPI 1275509937
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Newark, DE

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
4701 OGLETOWN STANTON ROAD, SUITE 2100, NEWARK, DE 19713(302) 623-4530(302) 623-4578 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian T Nam Md NPPES

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

BRIAN T NAM MD (NPI 1275509937) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Newark, Delaware, licensed in Delaware (C1-0010222) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of University Of Wisconsin School Of Medicine (2004).

NPPES Registry Identity

NPI1275509937
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameBRIAN T NAMCredential: MD
Location Address4701 OGLETOWN STANTON ROAD, SUITE 2100Newark, DE 19713
Mailing AddressPo Box 30170Wilmington, DE 19805-7170
Fax(302) 623-4578
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004
Enumeration DateFebruary 23, 2006
Last NPPES UpdateDecember 17, 2012
NPI 1275509937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in DE · C1-0010222
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 54904-20 (WI)
4701 OGLETOWN STANTON ROAD, Newark, DE 19713

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 T Nam 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 ID5193744571
PECOS Enrollment IDI20130114000104
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 12

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 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.
253 services176 patients
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.
123 services123 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.
84 services41 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.
56 services50 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
38 services37 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.
27 services20 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims290 services$2.64 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims6,173 services$0.26 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 5

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
4701 OGLETOWN STANTON ROAD, HELEN F. GRAHAM CANCER CENTER, SUITE 2100
NEWARK, DE 19713
Psychologist
4701 OGLETOWN STANTON ROAD, SUITE 2200, HELEN F. GRAHAM CANCER CENTER
NEWARK, DE 19713
Physician Assistant
4701 OGLETOWN STANTON ROAD, SUITE 2100
NEWARK, DE 19713
Internal Medicine (Medical Oncology)
4701 OGLETOWN STANTON ROAD, SUITE 3400
NEWARK, DE 19713
Physician Assistant
4701 OGLETOWN STANTON ROAD, SUITE 2100
NEWARK, DE 19713

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 Nam's NPI number?

The NPI number for Brian Nam is 1275509937. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Brian Nam located?

Brian Nam practices at 4701 Ogletown Stanton Road Suite 2100, Newark, DE 19713. The listed phone number is (302) 623-4530.

What is Brian Nam's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Brian Nam enrolled in Medicare?

Yes. Brian Nam 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 Nam accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Brian Nam 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 Nam affiliated with any hospitals?

According to CMS data, Brian Nam is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Brian Nam was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.