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DR. BRIAN PANFALONE DNAP, CRNA
NPI 1518693084
Nurse Anesthetist, Certified Registered in Mount Clemens, MI

Active since July 27, 2022Accepts Medicare Assignment
77.85/100
CMS Quality Rating
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 30, 2022, Jul 27, 2022 (2 updates tracked since 2022).

About Dr. Brian Panfalone Dnap, Crna NPPES

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

DR. BRIAN PANFALONE DNAP, CRNA (NPI 1518693084) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704314956) and active in the NPI registry since July 2022. He is affiliated with Henry Ford Macomb Hospital, maintains a secondary practice location in Detroit, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518693084
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. BRIAN PANFALONECredential: DNAP, CRNA
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address20360 Rambling DrClinton Township, MI 48038-7507 · (586) 625-2757
Phone(586) 493-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2022
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1518693084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704314956
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704314956 (MI)
1000 HARRINGTON ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Secondary Practice Location 1

Location 1259 Mack AveDetroit, MI 48201-2427 · Phone (313) 577-1716

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Panfalone Dnap, Crna 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 ID8426424318
PECOS Enrollment IDI20221018001369

Medicare Billing Reassignments

5

Medicare enrollment records show Brian Panfalone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Glps Staffing Solutions LLC
Same address
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 112 clinicians in this Medicare group
NPI 1750797015 (586) 493-8000
Henry Ford Macomb Hospital Corporation
3.8 mi
Neonatal
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1790069714 (Michigan)
  • 215 clinicians in this Medicare group
NPI 1912301094 (586) 263-2300
Asa Staffing Inc
14 mi
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 359 clinicians in this Medicare group
NPI 1114378981 (248) 652-5000
Henry Ford Health Providence Hospital
30 mi
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 122 clinicians in this Medicare group
NPI 1851339196 (248) 849-3205
Psj Anesthesia PC
117 mi
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 209 clinicians in this Medicare group
NPI 1275905796 (248) 849-3000

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 2

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.

Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
18 services18 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

77.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Improvement Activities0
Cost75.07

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.

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Panfalone's NPI number?

The NPI number for Brian Panfalone is 1518693084. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Brian Panfalone located?

Brian Panfalone practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Brian Panfalone's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brian Panfalone enrolled in Medicare?

Yes. Brian Panfalone 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 organizations bill Medicare for Brian Panfalone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Panfalone reassigns Medicare benefits to 5 organizations: Glps Staffing Solutions LLC (Mount Clemens, MI), Henry Ford Macomb Hospital Corporation (Clinton Township, MI), Asa Staffing Inc (Rochester, MI), Henry Ford Health Providence Hospital (Southfield, MI) and Psj Anesthesia PC (Southfield, MI). Each 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 Panfalone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Panfalone accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brian Panfalone 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 Panfalone affiliated with any hospitals?

According to CMS data, Brian Panfalone is affiliated with Henry Ford Macomb Hospital and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Brian Panfalone was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.