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DR. BRIAN W HAWTHORNE M.D.
NPI 1396726337
Family Medicine in Indiana, PA

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
50 MERRICK ST, INDIANA, PA 15701(304) 276-1578 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian W Hawthorne M.d. NPPES

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

DR. BRIAN W HAWTHORNE M.D. (NPI 1396726337) is an individual family medicine provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD061667L) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1396726337
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN W HAWTHORNECredential: M.D.
Location Address50 MERRICK STIndiana, PA 15701-8988
Mailing Address50 Merrick StIndiana, PA 15701-8988 · (304) 276-1578
Phone(304) 276-1578
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 8, 2005
Last NPPES UpdateFebruary 10, 2020
✔ NPI 1396726337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD061667L✔ Licensed in WV · 19027
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
50 MERRICK ST, Indiana, PA 15701
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Other Identifiers 4

Other001709238WV · Group Blue Shield #
Medicaid1802281000WV
Medicaid3810002243WV
Other001718039WV · Ind Blue Shield #

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 W Hawthorne 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 ID1153363395
PECOS Enrollment IDI20210914003336
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 Reassignment

Medicare enrollment records show Brian Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Physician Services - Southeast Professional Corporation
535 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, South Carolina enrollment
  • 311 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
294 services145 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
176 services162 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
138 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
136 services87 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Hawthorne's NPI number?

The NPI number for Brian Hawthorne is 1396726337. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Brian Hawthorne located?

Brian Hawthorne practices at 50 Merrick St, Indiana, PA 15701. The listed phone number is (304) 276-1578.

What is Brian Hawthorne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Hawthorne enrolled in Medicare?

Yes. Brian Hawthorne 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 organization bills Medicare for Brian Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Hawthorne reassigns Medicare benefits to Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). The 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 Hawthorne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Hawthorne affiliated with any hospitals?

According to CMS data, Brian Hawthorne is affiliated with Musc Medical Center, Conway Medical Center and Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Hawthorne was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.