BRIAN D THWAITES PA-C
NPI 1285773671
Physician Assistant in Sheridan, MI

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
303 CONGRESS ST, SHERIDAN, MI 48884(989) 291-5077(989) 291-4348 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian D Thwaites Pa-c NPPES

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

BRIAN D THWAITES PA-C (NPI 1285773671) is an individual physician assistant in Sheridan, Michigan, licensed in Michigan (5601003377) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285773671
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN D THWAITESCredential: PA-C
Location Address303 CONGRESS STSheridan, MI 48884-9215
Mailing Address301 N Main St, P.o Box 155Sheridan, MI 48884-9235 · (989) 291-6264 · Fax (989) 291-5350
Fax(989) 291-4348
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 5, 2007
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1285773671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601003377
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
303 CONGRESS ST, Sheridan, MI 48884

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 D Thwaites Pa-c 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 ID3577455807
PECOS Enrollment IDI20040330000013
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.

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Sheridan Community Hospital

Critical Access Hospitals · Sheridan, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231312
Location301 N Main StSheridan, MI 48884 · Montcalm County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48884 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers38 claims96 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims30 services$0.89 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims66 services$1.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$60.92 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 9

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

Nurse Practitioner (Family)
303 CONGRESS ST
SHERIDAN, MI 48884
Nurse Practitioner (Family)
303 CONGRESS ST
SHERIDAN, MI 48884
Nurse Practitioner (Family)
303 CONGRESS ST
SHERIDAN, MI 48884
Family Medicine
303 CONGRESS ST
SHERIDAN, MI 48884
Family Medicine
303 CONGRESS ST
SHERIDAN, MI 48884
Family Medicine
303 CONGRESS ST
SHERIDAN, MI 48884
Clinic/Center (Rural Health)
303 CONGRESS ST
SHERIDAN, MI 48884
Family Medicine
303 CONGRESS ST
SHERIDAN, MI 48884

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 Thwaites's NPI number?

The NPI number for Brian Thwaites is 1285773671. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Brian Thwaites located?

Brian Thwaites practices at 303 Congress St, Sheridan, MI 48884. The listed phone number is (989) 291-5077.

What is Brian Thwaites's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Thwaites enrolled in Medicare?

Yes. Brian Thwaites 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 Thwaites accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brian Thwaites 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 Thwaites affiliated with any hospitals?

According to CMS data, Brian Thwaites is affiliated with Spectrum Health United Hospital, Sparrow Carson Hospital and Sheridan Community Hospital.

When was this NPI record last updated?

The NPPES record for Brian Thwaites was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.