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: October 18, 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, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Neenah.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Brian Bruggeman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
Clinic/Center
119 NORMAN DORMINY DR, STE A
Fitzgerald, GA 31750
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
Plastic Surgery
1020 N SAN FRANCISCO ST, SUITE 200
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Plastic Surgeons Of Northern Arizona P L L C
  • 6 clinicians in this Medicare group
Psychiatry
570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

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.

Which organizations bill Medicare for Brian Bruggeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bruggeman reassigns Medicare benefits to 7 organizations: Geisinger Clinic (Wilkes Barre, PA), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), Thedacare, Incorporated (Menasha, WI), Dean Health Systems, Inc (Madison, WI), Phoebe Dorminy Kids Health (Fitzgerald, GA) and 2 more organizations, listed in the Medicare section above. 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 Bruggeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Bruggeman accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource (Common Ground Healthcare) and 8 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.

Is Brian Bruggeman affiliated with any hospitals?

According to CMS data, Brian Bruggeman is affiliated with Geisinger-Community Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Bruggeman was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.