DR. BRIAN D HALE M.D.
NPI 1457355059
Urology in Palm Harbor, FL

Q: What is Brian Hale's NPI number?

The NPI number for Brian Hale is 1457355059. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Q: What is Brian Hale's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Hale was last updated on February 2, 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.

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

35095 US HIGHWAY 19 N, STE 202, PALM HARBOR, FL 34684(727) 771-0600(727) 781-9666 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2021, Jan 27, 2020 (2 updates tracked since 2020).

On this page

About Dr. Brian D Hale M.d. NPPES

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

DR. BRIAN D HALE M.D. (NPI 1457355059) is an individual urology provider in Palm Harbor, Florida, licensed in Florida (ME67771) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of Emory University School Of Medicine (1989).

NPPES Registry Identity

NPI1457355059

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. BRIAN D HALECredential: M.D.

Location Address35095 US HIGHWAY 19 N, STE 202Palm Harbor, FL 34684-1971

Mailing Address12109 County Road 103Oxford, FL 34484-2951 · (352) 205-8981 · Fax (352) 391-6498

Phone(727) 771-0600

Fax(727) 781-9666

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1989

Enumeration DateJune 10, 2005

Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1457355059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME67771

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

35095 US HIGHWAY 19 N, Palm Harbor, FL 34684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 D Hale 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 ID1052404290

PECOS Enrollment IDI20080529000597

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 Hale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Urology Institute, LLC

72 mi

Urology

12109 COUNTY ROAD 103
Oxford, FL 34484

Reassigned Medicare billing, Florida enrollment
132 clinicians in this Medicare group

NPI 1023447935 (352) 391-6494

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 24

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 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.

949 services547 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

908 services473 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

777 services504 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.

447 services315 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

326 services261 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

274 services199 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

215 services184 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

209 services41 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

172 services152 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.

89 services89 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

86 services20 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

59 services54 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

49 services25 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

46 services13 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services29 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

35 services35 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

29 services22 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

26 services24 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.

22 services21 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

20 services20 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

20 services20 patients

Other procedure on male genital system 55899

This procedure refers to a variety of medical interventions on the male reproductive system. It could be diagnostic, therapeutic, or preventive. It's done to maintain or improve reproductive health. It's always performed by a skilled medical professional.

19 services19 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

12 services11 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100043

Location601 Main StDunedin, FL 34698 · Pinellas County

Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100063

Location6600 Madison StNew Port Richey, FL 34652 · Pasco County

Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100191

Location9330 Sr 54Trinity, FL 34655 · Pasco County

Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100265

Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

WEST FLORIDA UROLOGY PLC

Urology

35095 US HIGHWAY 19 N, SUITE 202
PALM HARBOR, FL 34684

Pinellas County (727) 771-0600

KRISTINA CLEMENTS

Physical Therapist

35095 US HIGHWAY 19 N, SUITE 101
PALM HARBOR, FL 34684

Pinellas County (727) 475-5538

ADVANCED UROLOGY INSTITUTE LLC

Non-Pharmacy Dispensing Site

35095 US HIGHWAY 19 N, SUITE 202
PALM HARBOR, FL 34684

Pinellas County (727) 771-0600

DR. YASER SEDRAK BASSEL M.D.

Urology

35095 US HIGHWAY 19 N, SUITE 202
PALM HARBOR, FL 34684

Pinellas County (727) 771-0600

DR. OSCAR MEDELLIN JR. DPT

Physical Therapist

35095 US HIGHWAY 19 N, SUITE 101
PALM HARBOR, FL 34684

Pinellas County (727) 475-5538

CERA ANNE HEITKAMP PT, DPT

Physical Therapist

35095 US HIGHWAY 19 N, SUITE 101
PALM HARBOR, FL 34684

Pinellas County (727) 475-5538

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 Hale's NPI number?

The NPI number for Brian Hale is 1457355059. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Brian Hale located?

Brian Hale practices at 35095 Us Highway 19 N Ste 202, Palm Harbor, FL 34684. The listed phone number is (727) 771-0600.

What is Brian Hale's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Brian Hale enrolled in Medicare?

Yes. Brian Hale 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 Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Hale reassigns Medicare benefits to Advanced Urology Institute, LLC (Oxford, FL). 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 Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Hale accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Brian Hale 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 Hale affiliated with any hospitals?

According to CMS data, Brian Hale is affiliated with Mease Dunedin Hospital, Morton Plant North Bay Hospital, Morton Plant Hospital, Hca Florida Trinity Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Brian Hale was last updated on February 2, 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.