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DR. BRIAN J BYRNE M.D.
NPI 1508844010
Internal Medicine - Hematology & Oncology in Southington, CT

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
55 MERIDEN AVE, SUITE 1-A, SOUTHINGTON, CT 06489(860) 621-9316(860) 620-5526 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian J Byrne M.d. NPPES

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

DR. BRIAN J BYRNE M.D. (NPI 1508844010) is an individual hematology & oncology provider in Southington, Connecticut, licensed in Connecticut (045205) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2001).

NPPES Registry Identity

NPI1508844010
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. BRIAN J BYRNECredential: M.D.
Location Address55 MERIDEN AVE, SUITE 1-ASouthington, CT 06489-3238
Mailing Address55 Meriden Ave, Suite 1-aSouthington, CT 06489-3238 · (860) 621-9316 · Fax (860) 620-5526
Phone(860) 621-9316
Fax(860) 620-5526
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMarch 13, 2008
✔ NPI 1508844010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 045205
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
55 MERIDEN AVE, Southington, CT 06489
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI36725CT
Other010045205CT01CT · Anthem Bc/bs

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 J Byrne 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 ID5496785776
PECOS Enrollment IDI20070822000018
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 6

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.
460 services136 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.
171 services119 patients
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.
56 services30 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.
28 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,288 services$0.70 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier14 claims14 services$19.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

LIFESPRING PEDIATRICS LLC
Pediatrics
55 MERIDEN AVE, SUITE 3A
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 426-9440
JOSHUA ROCK D.O.
Internal Medicine (Cardiovascular Disease)
55 MERIDEN AVE, SUITE 3G
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-5304
DR. CURTLAND CHESTER BROWN III M.D.
Internal Medicine (Pulmonary Disease)
55 MERIDEN AVE, SUITE 1H
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-0555
DR. WILLIAM R MCQUEEN JR. MD
Internal Medicine
55 MERIDEN AVE, SUITE 1E
SOUTHINGTON, CT 06489
Capitol Planning Region (504) 842-4000
EYE-WEAR GLASSES INC
Eyewear Supplier
55 MERIDEN AVE, SUITE 2F
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-8215
MS. LISA DIMICHELE-STOKES MSPT
Physical Therapist
55 MERIDEN AVE
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-5305
CANCER CENTER OF CENTRAL CONNECTICUT LLC
Internal Medicine (Hematology & Oncology)
55 MERIDEN AVE
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-9316
MR. JAMES BATTIPAGLIA LICENSED OPTICIAN
Technician/Technologist (Optician)
55 MERIDEN AVE, SUITE 2F
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-8215

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 Byrne's NPI number?

The NPI number for Brian Byrne is 1508844010. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Brian Byrne located?

Brian Byrne practices at 55 Meriden Ave Suite 1-A, Southington, CT 06489. The listed phone number is (860) 621-9316.

What is Brian Byrne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Brian Byrne enrolled in Medicare?

Yes. Brian Byrne 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 Byrne was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.