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DR. BRIAN T MCQUONE DO
NPI 1528350154
Emergency Medicine in Erie, PA

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
201 STATE ST, ERIE, PA 16550(814) 877-6139(814) 877-6093 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian T Mcquone Do NPPES

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

DR. BRIAN T MCQUONE DO (NPI 1528350154) is an individual emergency medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS016348) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2011).

NPPES Registry Identity

NPI1528350154
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRIAN T MCQUONECredential: DO
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002 · (814) 877-6139 · Fax (814) 877-6093
Phone(814) 877-6139
Fax(814) 877-6093
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateJuly 30, 2026
✔ NPI 1528350154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · OS016348
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.
201 STATE ST, Erie, PA 16550
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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 T Mcquone Do 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 ID5890912521
PECOS Enrollment IDI20150825004763
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 Mcquone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Health Services Inc
Same address
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140

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 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.
238 services234 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.
134 services134 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

MRS. MARSHA SIGRID DIETRICH-MCLEAN D.O.
Hospitalist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
NANCY LUCILLE KARDOS PTA
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000
MRS. SHANNON R FOLGA MSN, CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 450-0776
ALYSSA LEIGH KIMMY CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2621
DR. JAMES PAWLAK III DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 864-4031
HALLE KATE SNYDER
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2820
COLLEEN KASSANDRA DOMINICI PA-C
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
DR. KEVIN A ANDRYC DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000

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 Mcquone's NPI number?

The NPI number for Brian Mcquone is 1528350154. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Brian Mcquone located?

Brian Mcquone practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-6139.

What is Brian Mcquone's specialty?

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

Is Brian Mcquone enrolled in Medicare?

Yes. Brian Mcquone 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 Mcquone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Mcquone reassigns Medicare benefits to Regional Health Services Inc (Erie, PA). 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 Mcquone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Mcquone affiliated with any hospitals?

According to CMS data, Brian Mcquone is affiliated with Upmc Hamot and Upmc Northwest.

When was this NPI record last updated?

The NPPES record for Brian Mcquone was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.