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DR. BRIAN C BYRNE MD
NPI 1376863308
Emergency Medicine in Avon, IN

Active since June 01, 2010PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1111 RONALD REAGAN PKWY, AVON, IN 46123(317) 217-3500(317) 217-3115 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian C Byrne Md NPPES

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

DR. BRIAN C BYRNE MD (NPI 1376863308) is an individual emergency medicine provider in Avon, Indiana, licensed in Indiana (01070319A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2010).

NPPES Registry Identity

NPI1376863308
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRIAN C BYRNECredential: MD
Location Address1111 RONALD REAGAN PKWYAvon, IN 46123-7085
Mailing Address950 N Meridian St, Ste 500 Provider EnrollmentIndianapolis, IN 46204-3908 · (317) 963-0860 · Fax (317) 962-4950
Phone(317) 217-3500
Fax(317) 217-3115
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2010
Enumeration DateJune 1, 2010
Last NPPES UpdateNovember 28, 2012
✔ NPI 1376863308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01070319A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11015526A (IN)
1111 RONALD REAGAN PKWY, Avon, IN 46123
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Other Identifiers 2

Medicare PIN264430004IN
Medicaid201083530IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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 C Byrne 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 ID4981854130
PECOS Enrollment IDI20130903000748
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
248 services245 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
176 services174 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
78 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

JILL BROGHAMMER DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KIMBERLY KEYES BARRETT PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
KOLBIE SARA MASON PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 962-6300
JOANNA LEE HUNTER-SQUIRES M.D.
Surgery
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 944-7874
MRS. LINDA JOYCE PEDERSEN PT
Physical Therapist
1111 RONALD REAGAN PKWY, SUITE MG214
AVON, IN 46123
Hendricks County (317) 217-3070
TIMOTHY W JOHNSON PA
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 472-7317
ELIZABETH MARIE SULLIVAN DO
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000
ADAM JONES PA-C
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Hendricks County (317) 217-3000

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 Byrne's NPI number?

The NPI number for Brian Byrne is 1376863308. It was assigned to this individual provider in the NPPES registry on June 1, 2010.

Where is Brian Byrne located?

Brian Byrne practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3500.

What is Brian Byrne's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Byrne enrolled in Medicare?

Yes. Brian Byrne 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 Byrne accept?

Health plans from Moda Health Plan, Inc. list Brian Byrne 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 Byrne affiliated with any hospitals?

According to CMS data, Brian Byrne is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Byrne was last updated on November 28, 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.