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BRIAN CRAIG PRIDGEN
NPI 1417213802
Plastic Surgery in Palo Alto, CA

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
770 WELCH RD, SUITE 400, PALO ALTO, CA 94304(111) 111-1111 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Craig Pridgen NPPES

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

BRIAN CRAIG PRIDGEN (NPI 1417213802) is an individual plastic surgery provider in Palo Alto, California, licensed in California (A127478) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2012).

NPPES Registry Identity

NPI1417213802
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameBRIAN CRAIG PRIDGEN
Location Address770 WELCH RD, SUITE 400Palo Alto, CA 94304-1511
Mailing Address770 Welch Rd, Suite 400Palo Alto, CA 94304-1511 · (111) 111-1111
Phone(111) 111-1111
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1417213802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A127478
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
770 WELCH RD, Palo Alto, CA 94304
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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

Brian Craig Pridgen 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 ID244567485
PECOS Enrollment IDI20201201001416
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 3

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.

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.
45 services23 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
43 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 20

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

DR. YUSRA NAZAR HUSSAIN M.D.
Internal Medicine (Geriatric Medicine)
770 WELCH RD, SUITE # 250
PALO ALTO, CA 94304
Santa Clara County (650) 328-1676
SHELLEY AGGARWAL MD
Pediatrics (Adolescent Medicine)
770 WELCH RD, DIVISION OF ADOLESCENT MEDICINE
PALO ALTO, CA 94304
Santa Clara County (650) 736-9557
DR. JENNIFER LEE HWANG DUDA MD
Pediatrics (Pediatric Hematology-Oncology)
770 WELCH RD, SUITE 261
PALO ALTO, CA 94304
Santa Clara County (650) 497-8953
CARMEN AGUILAR MANDAC NP
Nurse Practitioner
770 WELCH RD, SUITE 100
PALO ALTO, CA 94304
Santa Clara County (650) 725-8771
JACK H KOUMJIAN DDS
Dentist (Prosthodontics)
770 WELCH RD, STE 280
PALO ALTO, CA 94304
Santa Clara County (650) 347-3426
DR. SHAWN MOSHREFI M.D.
Student in an Organized Health Care Education/Training Program
770 WELCH RD, DIV OF PLASTIC SURGERY STE 400
PALO ALTO, CA 94304
Santa Clara County (650) 723-5824
ALEXANDER LI
Surgery (Plastic and Reconstructive Surgery)
770 WELCH RD, ATTN: ALEXANDER LI, PLASTIC SURGERY
PALO ALTO, CA 94304
Santa Clara County (650) 723-5824
LUCILE PACKARD CHILDREN'S HOSPITAL
Clinic/Center
770 WELCH RD
PALO ALTO, CA 94304
Santa Clara County (650) 721-2589

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 Pridgen's NPI number?

The NPI number for Brian Pridgen is 1417213802. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Brian Pridgen located?

Brian Pridgen practices at 770 Welch Rd Suite 400, Palo Alto, CA 94304. The listed phone number is (111) 111-1111.

What is Brian Pridgen's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Brian Pridgen enrolled in Medicare?

Yes. Brian Pridgen 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.

When was this NPI record last updated?

The NPPES record for Brian Pridgen was last updated on December 3, 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.