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BRIAN A BRAXTON MD
NPI 1528036555
Emergency Medicine in Morgantown, WV

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
284 PALISADES DR, MORGANTOWN, WV 26508(304) 598-0103 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian A Braxton Md NPPES

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

BRIAN A BRAXTON MD (NPI 1528036555) is an individual emergency medicine provider in Morgantown, West Virginia, licensed in West Virginia (22544) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (1994).

NPPES Registry Identity

NPI1528036555
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN A BRAXTONCredential: MD
Location Address284 PALISADES DRMorgantown, WV 26508-9009
Mailing Address284 Palisades DrMorgantown, WV 26508-9009 · (304) 598-0103
Phone(304) 598-0103
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1994
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 18, 2008
✔ NPI 1528036555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 22544✔ Licensed in OH · 35079260
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
284 PALISADES DR, Morgantown, WV 26508
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Other Identifiers 4

Medicaid2447516OH
Medicare ID-Type UnspecifiedBR406928OH
Medicare PIN4157902OH
Medicare UPING54443OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Brian A Braxton Md 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 ID547258923
PECOS Enrollment IDI20040504001078
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
346 services312 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
217 services197 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26508 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 Braxton's NPI number?

The NPI number for Brian Braxton is 1528036555. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Brian Braxton located?

Brian Braxton practices at 284 Palisades Dr, Morgantown, WV 26508. The listed phone number is (304) 598-0103.

What is Brian Braxton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Braxton enrolled in Medicare?

Yes. Brian Braxton 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.

What insurance does Brian Braxton accept?

Health plans from CareSource list Brian Braxton 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 Braxton affiliated with any hospitals?

According to CMS data, Brian Braxton is affiliated with Clinton Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Brian Braxton was last updated on March 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.