1. Home
  2. Directory
  3. Indiana
  4. Carmel
  5. Internal Medicine
  6. NPI Profile

BRIAN C MIDDLETON MD
NPI 1427285196
Internal Medicine in Carmel, IN

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
11725 N ILLINOIS ST, STE 465, CARMEL, IN 46032(317) 688-5840(317) 688-5841 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2021, Feb 16, 2016, Dec 31, 2015 and 2 more (5 updates tracked since 2015).

About Brian C Middleton Md NPPES

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

BRIAN C MIDDLETON MD (NPI 1427285196) is an individual internal medicine provider in Carmel, Indiana, licensed in Indiana (01070040A) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1427285196
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN C MIDDLETONCredential: MD
Location Address11725 N ILLINOIS ST, STE 465Carmel, IN 46032-3010
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 688-5840
Fax(317) 688-5841
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateFebruary 13, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2021
✔ NPI 1427285196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01070040A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11725 N ILLINOIS ST, Carmel, IN 46032
Open in Google Maps ↗

Other Identifiers 1

Medicaid201312300IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, 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

Brian C Middleton 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 ID4284886664
PECOS Enrollment IDI20150616000762
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.

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.
23 services15 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.
23 services20 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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Indiana University Health Tipton Hospital Inc

Critical Access Hospitals · Tipton, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151311
Location1000 S Main StTipton, IN 46072 · Tipton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

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.

JENNIFER LYNN VERBRUGGE M.S.
Genetic Counselor, MS
11725 N ILLINOIS ST
CARMEL, IN 46032
Hamilton County (317) 688-2727
DR. KENNETH K MOGHADAM M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
11725 N ILLINOIS ST, SUITE 515
CARMEL, IN 46032
Hamilton County (317) 814-4110
INDIANAPOLIS NEUROSURGICAL GROUP
Neurological Surgery
11725 N ILLINOIS ST, SUITE 275
CARMEL, IN 46032
Hamilton County (317) 688-2045
ORTHOPAEDICS-INDIANAPOLIS, INC.
Orthopaedic Surgery
11725 N ILLINOIS ST, SUITE 215
CARMEL, IN 46032
Hamilton County (317) 802-2000
CACIOPPO PLASTIC SURGERY, LLC
Plastic Surgery
11725 N ILLINOIS ST, SUITE 245
CARMEL, IN 46032
Hamilton County (317) 600-8950
MRS. SARAH ELIZABETH CARNEY MED FAAA
Audiologist
11725 N ILLINOIS ST, STE 445
CARMEL, IN 46032
Hamilton County (317) 844-7059
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Internal Medicine (Hematology & Oncology)
11725 N ILLINOIS ST, SUITE, LL050
CARMEL, IN 46032
Hamilton County (317) 688-5656
RANDALL J. FRANIAK, M.D.
Anesthesiology (Pain Medicine)
11725 N ILLINOIS ST, STE. 447
CARMEL, IN 46032
Hamilton County (317) 688-2000

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 Middleton's NPI number?

The NPI number for Brian Middleton is 1427285196. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Brian Middleton located?

Brian Middleton practices at 11725 N Illinois St Ste 465, Carmel, IN 46032. The listed phone number is (317) 688-5840.

What is Brian Middleton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Middleton enrolled in Medicare?

Yes. Brian Middleton 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 Middleton accept?

Health plans from CareSource and Moda Health Plan, Inc. list Brian Middleton 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 Middleton affiliated with any hospitals?

According to CMS data, Brian Middleton is affiliated with Indiana University Health, Indiana University Health North Hospital and Indiana University Health Tipton Hospital Inc.

When was this NPI record last updated?

The NPPES record for Brian Middleton was last updated on February 13, 2021. 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.