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DR. BRIAN T. SKALE M.D.
NPI 1396735650
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
7545 BEECHMONT AVE, SUITE D, CINCINNATI, OH 45255(513) 206-1320(513) 232-8483 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian T. Skale M.d. NPPES

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

DR. BRIAN T. SKALE M.D. (NPI 1396735650) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35-050282) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1978).

NPPES Registry Identity

NPI1396735650
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BRIAN T. SKALECredential: M.D.
Location Address7545 BEECHMONT AVE, SUITE DCincinnati, OH 45255-4222
Mailing Address237 William Howard Taft Rd, 2nd Floor, Cbo2-3Cincinnati, OH 45219-2610 · (513) 206-1320 · Fax (513) 232-8483
Phone(513) 206-1320
Fax(513) 232-8483
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1978
Enumeration DateOctober 26, 2005
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
✔ NPI 1396735650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OH · 35-050282
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 35-050282 (OH)
7545 BEECHMONT AVE, Cincinnati, OH 45255
Open in Google Maps ↗

Other Identifiers 2

OtherP00367109OH · Railroad Medicare
Medicaid0582516OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 T. Skale 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 ID749188365
PECOS Enrollment IDI20070130000392, I20130405000475
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
43 services40 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.
36 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45255 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

Other Providers at the Same Location NPPES 14

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

BRIAN MASTERSON MD
Psychiatry & Neurology (Psychiatry)
7545 BEECHMONT AVE
CINCINNATI, OH 45255
Hamilton County (513) 263-8652
LEANNE OLSHAVSKY MD
Obstetrics & Gynecology
7545 BEECHMONT AVE, SUITE B
CINCINNATI, OH 45255
Hamilton County (513) 564-1600
DR. CHRISTOPHER MICHAEL ROBERTS M.D.
Internal Medicine
7545 BEECHMONT AVE, SUITE A
CINCINNATI, OH 45255
Hamilton County (512) 624-9100
JOHN MICHAEL MCGOVERN D.O.
Internal Medicine
7545 BEECHMONT AVE, SUITE K
CINCINNATI, OH 45255
Hamilton County (513) 564-4277
MICHAEL EDWARD BENTZ PAC
Physician Assistant
7545 BEECHMONT AVE, SUITE C
CINCINNATI, OH 45255
Hamilton County (513) 564-4027
CYNTHIA E CHIZEWICK MSW, LISW-S,LICDC
Social Worker (Clinical)
7545 BEECHMONT AVE
CINCINNATI, OH 45255
Hamilton County (513) 564-4026
JOEL FORMAN M.D.
Internal Medicine (Cardiovascular Disease)
7545 BEECHMONT AVE
CINCINNATI, OH 45255
Hamilton County (513) 206-1320
MS. LINDA ANN DAULT NP
Nurse Practitioner (Family)
7545 BEECHMONT AVE, SUITE A
CINCINNATI, OH 45255
Hamilton County (513) 624-9100

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 Skale's NPI number?

The NPI number for Brian Skale is 1396735650. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Brian Skale located?

Brian Skale practices at 7545 Beechmont Ave Suite D, Cincinnati, OH 45255. The listed phone number is (513) 206-1320.

What is Brian Skale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Skale enrolled in Medicare?

Yes. Brian Skale 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 Skale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Brian Skale 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 Skale affiliated with any hospitals?

According to CMS data, Brian Skale is affiliated with Christ Hospital, Clinton Memorial Hospital and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Brian Skale was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.