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BRENDAN T SCANLON PA
NPI 1437862034
Physician Assistant in Cranston, RI

Active since December 29, 2022PECOS EnrolledAccepts Medicare Assignment
75 SOCKANOSSET CROSS RD STE 100, CRANSTON, RI 02920(401) 946-6200 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendan T Scanlon Pa NPPES

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

BRENDAN T SCANLON PA (NPI 1437862034) is an individual physician assistant in Cranston, Rhode Island, licensed in Rhode Island (PA01671) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1437862034
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENDAN T SCANLONCredential: PA
Location Address75 SOCKANOSSET CROSS RD STE 100Cranston, RI 02920-5558
Mailing Address75 Sockanosset Cross Rd Ste 100Cranston, RI 02920-5558 · (401) 946-6200
Phone(401) 946-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 29, 2022
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1437862034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01671
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
75 SOCKANOSSET CROSS RD STE 100, Cranston, RI 02920
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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

Brendan T Scanlon Pa 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 ID3971941733
PECOS Enrollment IDI20240329002228
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 5

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.
79 services67 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.
70 services60 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
25 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 4

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

KATHLEEN RICCI PA
Physician Assistant
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 946-6200
DOUGLAS L BLECKER MD
Internal Medicine
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 736-4500
ELENA BURNS APRN
Nurse Practitioner (Family)
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 736-4500
JESSICA ANN PINEDA M.D.
Family Medicine
75 SOCKANOSSET CROSS RD STE 100
CRANSTON, RI 02920
Providence County (401) 736-4500

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 Brendan Scanlon's NPI number?

The NPI number for Brendan Scanlon is 1437862034. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Brendan Scanlon located?

Brendan Scanlon practices at 75 Sockanosset Cross Rd Ste 100, Cranston, RI 02920. The listed phone number is (401) 946-6200.

What is Brendan Scanlon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brendan Scanlon enrolled in Medicare?

Yes. Brendan Scanlon 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.

Is Brendan Scanlon affiliated with any hospitals?

According to CMS data, Brendan Scanlon is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Brendan Scanlon was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.