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DR. BRIAN ELBERT BATES M.D.
NPI 1558317446
Surgery in Niles, MI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
42 N SAINT JOSEPH AVE, SUITE 101, NILES, MI 49120(269) 684-6696(269) 684-5286 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian Elbert Bates M.d. NPPES

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

DR. BRIAN ELBERT BATES M.D. (NPI 1558317446) is an individual surgery provider in Niles, Michigan, licensed in Michigan (4301407413) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Loma Linda University School Of Medicine (1986).

NPPES Registry Identity

NPI1558317446
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRIAN ELBERT BATESCredential: M.D.
Location Address42 N SAINT JOSEPH AVE, SUITE 101Niles, MI 49120-2203
Mailing AddressPo Box 708Saint Joseph, MI 49085-0708 · (269) 428-5007 · Fax (269) 428-2789
Phone(269) 684-6696
Fax(269) 684-5286
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1986
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 5, 2014
✔ NPI 1558317446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MI · 4301407413✔ Licensed in GU · M001208
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
42 N SAINT JOSEPH AVE, Niles, MI 49120
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Other Identifiers 3

Medicaid1558317446MI
Medicare UPINE68090GU
Medicare PINH51304GU

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Brian Elbert Bates 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 ID9133020167
PECOS Enrollment IDI20131003000595
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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
50 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 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.
19 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 300
NILES, MI 49120
Berrien County (269) 687-2910
LAURIE ANN GEE NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
ELIZABETH ZECH NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
KENNETH WALTER KAUFMANN II M.D.
Obstetrics & Gynecology
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Berrien County (269) 684-6696
DR. HELENE M JOHNSON MD
General Practice
42 N SAINT JOSEPH AVE, SUITE 200
NILES, MI 49120
Berrien County (269) 687-0808
DR. EDWARD DAVID LANIGAN M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 49120
Berrien County (269) 683-8070
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Berrien County (269) 687-4673

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 Bates's NPI number?

The NPI number for Brian Bates is 1558317446. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Brian Bates located?

Brian Bates practices at 42 N Saint Joseph Ave Suite 101, Niles, MI 49120. The listed phone number is (269) 684-6696.

What is Brian Bates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Bates enrolled in Medicare?

Yes. Brian Bates 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 Bates accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brian Bates 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 Bates affiliated with any hospitals?

According to CMS data, Brian Bates is affiliated with Lakeland Hospital, St Joseph and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Brian Bates was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.