DR. BRIAN B BRUGGEMAN MD
NPI 1356344626
Plastic Surgery in Wilkes Barre, PA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-6400(570) 808-6338 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Jan 2, 2026, May 9, 2025 and 5 more (8 updates tracked since 2018).

About Dr. Brian B Bruggeman Md NPPES

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

DR. BRIAN B BRUGGEMAN MD (NPI 1356344626) is an individual plastic surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD485999) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of University Of Utah School Of Medicine (1997).

NPPES Registry Identity

NPI1356344626
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BRIAN B BRUGGEMANCredential: MD
Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Fax(570) 808-6338
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1997
Enumeration DateMay 31, 2005
Last NPPES UpdateJune 2, 20268 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1356344626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses Licensed in PA · MD485999 Licensed in WI · 83551
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
675 BALTIMORE DR, Wilkes Barre, PA 18702

Secondary Practice Location 1

Location 11516 S Commercial StNeenah, WI 54956-4802 · Phone (920) 358-1223 · Fax (920) 358-1224

Other Identifiers 13

Medicaid1023267895MT
Medicaid784422AZ
Medicaid808217900ID
Other18032746AZ · State Comp Fund Az
Medicaid1023267895ID
Medicaid1356344626WI
Other31346AZ · State License Az
Other8607474153011AZ · Tax Id
OtherAZ0734420AZ · Blue Cross Blue Shield Az
Medicaid1023267895WY
OtherPOOOO4401AZ · Railroad Medicare
Other8640234AZ · Cigna
MedicaidP784422AZ

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

Dr. Brian B Bruggeman 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 ID6305937392
PECOS Enrollment IDI20240314000372, I20260122000378
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

Dentist (Oral and Maxillofacial Surgery)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner (Adult Health)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Optometrist
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Internal Medicine (Rheumatology)
675 BALTIMORE DR
WILKES BARRE, PA 18702

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 Bruggeman's NPI number?

The NPI number for Brian Bruggeman is 1356344626. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Brian Bruggeman located?

Brian Bruggeman practices at 675 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6400.

What is Brian Bruggeman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Brian Bruggeman enrolled in Medicare?

Yes. Brian Bruggeman 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 Bruggeman accept?

Health plans from Antidote Health Plan of Arizona, Inc., Aspirus Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of North Dakota and Blue Cross and Blue Shield of Texas and 3 other insurers list Brian Bruggeman 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.

When was this NPI record last updated?

The NPPES record for Brian Bruggeman was last updated on June 2, 2026, 2 months ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.