DR. BRUCE ALLEN BROWN M.D. NPI 1508927310
Ophthalmology in Augusta, GA

About DR. BRUCE ALLEN BROWN M.D.

Bruce Brown is a provider established in Augusta, Georgia and his medical specialization is Ophthalmology with more than 30 years of experience. He graduated from Mercer University School Of Medicine in 1993. The NPI number of this provider is 1508927310 and was assigned on December 2006. The practitioner's primary taxonomy code is 207W00000X with license number 055183 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1508927310
Provider NameDR. BRUCE ALLEN BROWN M.D.
Location Address1330 INTERSTATE PKWY AUGUSTA, GA 30909
Location Phone(706) 651-2020
Mailing Address1330 INTERSTATE PKWY AUGUSTA, GA 30909
GenderMale
NPI Entity TypeIndividual
Medical School NameMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1993
Is Sole Proprietor?No
Enumeration Date12-13-2006
Last Update Date05-28-2015

Bruce Brown is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Bruce Brown is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 90.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: age-related macular degeneration (amd): dilated macular examination, clinical data registry reporting, closing the referral loop: receipt of specialist report, diabetes: eye exam, diabetic retinopathy: communication with the physician managing ongoing diabetes care, documentation of current medications in the medical record, e-prescribing, preventive care and screening: tobacco use: screening and cessation intervention, primary open-angle glaucoma (poag): optic nerve evaluation, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information, regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms., security risk analysis, support electronic referral loops by receiving and reconciling health information, support electronic referral loops by sending health information, use of decision support and standardized treatment protocols and use of high-risk medications in older adults.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.09 for a new patient copayment and $17.36 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.055183
License StateGA
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

1330 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2020
Fax: (706) 855-6674

Get Directions


Mailing Address

1330 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2020
Fax: (706) 855-6674


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7517936362
PECOS Enrollment IDI20040928001023
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 30909 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.19 $169.73 $128.37
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.79 $42.43 $32.09
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.8 $138.36 $69.44
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $34.59 $17.36

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 69
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 90.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Age-Related Macular Degeneration (AMD): Dilated Macular Examination 91% 127
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within the 12 month performance period.
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery 94% 682
Percentage of cataract surgeries for patients aged 18 years and older with a diagnosis of uncomplicated cataract and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance or near) achieved in the operative eye within 90 days following the cataract surgery.
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Closing the Referral Loop: Receipt of Specialist Report 14% 104
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred.
Diabetes: Eye Exam 98% 857
Percentage of patients 18-75 years of age with diabetes and an active diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or diabetics with no diagnosis of retinopathy overlapping the measurement period who had a retinal or dilated eye exam by an eye care professional during the measurement period or in the 12 months prior to the measurement period.
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 75% 124
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months.
Documentation of Current Medications in the Medical Record 96% 4674
Percentage of visits for patients aged 18 years and older for which the MIPS eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration.
e-Prescribing 95% 2177
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 52% 21
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 53% 476
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 51% 476
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco usera. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months.b. Percentage of patients aged 18 years and older who were identified as a tobacco user who received tobacco cessation intervention.c. Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user.
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 98% 320
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months.
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patients Electronic Access to Their Health Information 86% 5075
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.YesN/A
Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Support Electronic Referral Loops By Receiving and Reconciling Health Information 10% 291
For at least one electronic summary of care record received for patient encounters during the performance period for which a MIPS eligible clinician was the receiving party of a transition of care or referral, or for patient encounters during the performance period in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician conducts clinical information reconciliation for medication, medication allergy, and current problem list.
Support Electronic Referral Loops By Sending Health Information 69% 173
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider - (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
3085
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication.2) Percentage of patients who were ordered at least two of the same high-risk medications.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1047Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 252Diagnostic imaging of retina (HCPCS:92134)
  • 170Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 138Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 120Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 103Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bruce Brown is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UNIVERSITY HOSPITAL1350 WALTON WAY
AUGUSTA, GA 30901
(706) 722-9011Acute Care Hospitals110028

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
18BDGJNOTHER (01)GAPTAN
H68984MEDICARE UPIN (02)
504928015AMEDICAID (05)GA
390605OTHER (01)GABLUE CROSS OF GEORGIA
4309192OTHER (01)CIGNA
7716637OTHER (01)AETNA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508927310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081821432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 2 + 1 + 4 + 3 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508927310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093798993DR. BEAU GARDNER M.D.
Individual
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1184785008DR. BRADLEY ALAN BERTRAM M.D.
Individual
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1003017468DR. RYAN THOMAS SMITH MD
Individual
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1841588555 DOUGLAS WILLIAM ELLENBERGER OD
Individual
Optometrist1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1508027343DR. ROBERT R MORGAN O.D
Individual
Optometrist1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1063467454DR. HERBERT PETER FECHTER III MD
Individual
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1366838120DR. JAMES CONNER LOCKWOOD M.D.
Individual
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1386705069EYE PHYSICIANS AND SURGEONS OF AUGUSTA, PC
Organization
Ophthalmology1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1962087270EYE GUYS CAROLINA LLC
Organization
Optometrist1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-3905
1760111645DAVID W BOWERS ANESTHESIA SERVICES LLC
Organization
Nurse Anesthetist, Certified Registered1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020
1457720153EYEGUYS ODS, LLC
Organization
Optometrist1330 INTERSTATE PKWY
AUGUSTA, GA 30909
(706) 651-2020

Frequently Asked Questions

What is Dr. Bruce Brown M.D. NPI number?

The NPI number assigned to this healthcare provider is 1508927310, registered as an "individual" on December 13, 2006

Where is Dr. Bruce Brown M.D. located?

The provider is located at 1330 Interstate Pkwy Augusta, Ga 30909 and the phone number is (706) 651-2020

Which is Dr. Bruce Brown M.D. specialty?

The provider's speciality is Ophthalmology

How many years of experience does Dr. Bruce Brown M.D. have?

The provider has more than 30 years of experience. He graduated from Mercer University School Of Medicine in 1993.

What insurance does Dr. Bruce Brown M.D. accept?

The provider might be accepting Aetna, Blue Cross Blue Shield, Cigna, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Bruce Brown M.D. registered in PECOS?

Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dr. Bruce Brown M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: Age-Related Macular Degeneration (AMD): Dilated Macular Examination, Diabetes: Eye Exam, Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care, Documentation of Current Medications in the Medical Record, Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation, Provide Patients Electronic Access to Their Health Information , Use of High-Risk Medications in Older Adults. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

How much is a visit to Dr. Bruce Brown M.D.?

Medicare beneficiaries should expect a typical cost of $128.37 with an average copayment of $32.09 for new patient appointments. Established patients should expect a typical charge of $69.44 and an average copayment of 17.36. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Bruce Brown M.D.?

The most common procedures or services performed by this practitioner are: Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Diagnostic imaging of retina, Diagnostic imaging of optic nerve of eye, Measurement of field of vision during daylight conditions, Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits and Eye and medical examination for diagnosis and treatment, established patient.

Is Dr. Bruce Brown M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Bruce Brown M.D. was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.