BRIAN MICHAEL WARE D.O.
NPI 1578990875
Family Medicine in Old Fort, NC

Q: What is Brian Ware's NPI number?

The NPI number for Brian Ware is 1578990875. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Q: What is Brian Ware's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Ware was last updated on January 28, 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.

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment

93.51/100

CMS Quality Rating

32 E MAIN ST, OLD FORT, NC 28762(828) 668-6435(833) 913-2496 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Jan 4, 2022, Nov 16, 2020 and 2 more (5 updates tracked since 2016).

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About Brian Michael Ware D.o. NPPES

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

BRIAN MICHAEL WARE D.O. (NPI 1578990875) is an individual family medicine provider in Old Fort, North Carolina, licensed in North Carolina (2016-00629) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2013).

NPPES Registry Identity

NPI1578990875

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRIAN MICHAEL WARECredential: D.O.

Location Address32 E MAIN STOld Fort, NC 28762-0017

Mailing Address32 E Main StOld Fort, NC 28762-0017 · (828) 668-6435 · Fax (833) 913-2496

Phone(828) 668-6435

Fax(833) 913-2496

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2013

Enumeration DateOctober 1, 2013

Last NPPES UpdateJanuary 28, 20225 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2022

✔ NPI 1578990875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2016-00629✔ Licensed in FL · UO3643

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

32 E MAIN ST, Old Fort, NC 28762

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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 Michael Ware D.o. 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 ID4385937754

PECOS Enrollment IDI20160722000031

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

341 services142 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

121 services70 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

58 services58 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

40 services30 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.

31 services27 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340087

Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28762 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

93.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers15 claims44 services$6.95 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims17 services$7.82 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier14 claims16 services$38.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers43 claims43 services$105.44 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$35.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MH MISSION HOSPITAL MCDOWELL, LLLP

Clinic/Center (Community Health)