DR. BRIAN JAMES BUDZYN M.D.
NPI 1386939775
Urology in High Point, NC

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
218 GATEWOOD AVE, HIGH POINT, NC 27262(336) 878-6511 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, May 16, 2020, Nov 1, 2019 and 2 more (5 updates tracked since 2015).

About Dr. Brian James Budzyn M.d. NPPES

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

DR. BRIAN JAMES BUDZYN M.D. (NPI 1386939775) is an individual urology provider in High Point, North Carolina, licensed in North Carolina (2016-00018) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains a secondary practice location in Gastonia.

NPPES Registry Identity

NPI1386939775
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BRIAN JAMES BUDZYNCredential: M.D.
Location Address218 GATEWOOD AVEHigh Point, NC 27262-4877
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-0238
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2011
Enumeration DateJune 14, 2011
Last NPPES UpdateOctober 4, 20225 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1386939775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NC · 2016-00018 Licensed in MI · 4301098541
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
218 GATEWOOD AVE, High Point, NC 27262

Secondary Practice Location 1

Location 1631 Cox RdGastonia, NC 28054-3438 · Phone (704) 864-7764 · Fax (704) 867-7894

Other Identifiers 1

Other562140200NC · Federal Tax Id

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 James Budzyn M.d. 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 ID5092017079
PECOS Enrollment IDI20160728000072
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 17

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,600 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
295 services191 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
261 services142 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
230 services150 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
196 services112 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.
175 services113 patients

Hospital Affiliations CMS Care Compare 2

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 10

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

Urology
218 GATEWOOD AVE
HIGH POINT, NC 27262
Registered Nurse (Registered Nurse First Assistant)
218 GATEWOOD AVE
HIGH POINT, NC 27262
Urology
218 GATEWOOD AVE
HIGH POINT, NC 27262
Radiology (Radiation Oncology)
218 GATEWOOD AVE
HIGH POINT, NC 27262
Urology
218 GATEWOOD AVE
HIGH POINT, NC 27262
Nurse Practitioner
218 GATEWOOD AVE
HIGH POINT, NC 27262
Radiology (Radiation Oncology)
218 GATEWOOD AVE
HIGH POINT, NC 27262
Nurse Practitioner
218 GATEWOOD AVE
HIGH POINT, NC 27262

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 Budzyn's NPI number?

The NPI number for Brian Budzyn is 1386939775. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Brian Budzyn located?

Brian Budzyn practices at 218 Gatewood Ave, High Point, NC 27262. The listed phone number is (336) 878-6511.

What is Brian Budzyn's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Brian Budzyn enrolled in Medicare?

Yes. Brian Budzyn 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 Budzyn accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Brian Budzyn 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 Budzyn affiliated with any hospitals?

According to CMS data, Brian Budzyn is affiliated with High Point Regional Health System and North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Brian Budzyn was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.