BRIAN CHRISTOPHER STAPINSKI M.D.
NPI 1598851313
Orthopaedic Surgery in West Reading, PA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
75.74/100
CMS Quality Rating
301 S 7TH AVE, SUITE 3220, WEST READING, PA 19611(610) 376-8671(610) 376-6387 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Christopher Stapinski M.d. NPPES

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

BRIAN CHRISTOPHER STAPINSKI M.D. (NPI 1598851313) is an individual orthopaedic surgery provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD447209) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2005).

NPPES Registry Identity

NPI1598851313
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRIAN CHRISTOPHER STAPINSKICredential: M.D.
Location Address301 S 7TH AVE, SUITE 3220West Reading, PA 19611-1410
Mailing Address301 S 7th Ave, Suite 3220West Reading, PA 19611-1410 · (610) 376-8671 · Fax (610) 376-6387
Fax(610) 376-6387
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2005
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 31, 2015
✔ NPI 1598851313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD447209
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 01062668A (IN)
301 S 7TH AVE, West Reading, PA 19611

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

Brian Christopher Stapinski 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 ID8022323898
PECOS Enrollment IDI20150824000690
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 Stapinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
850 KNITTING MILLS WAY
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group

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 32

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,905 services215 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.
443 services322 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
430 services231 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
368 services219 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
134 services132 patients
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.
114 services109 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Surgical Institute Of Reading

Acute Care Hospitals · Wyomissing, PA
OwnershipPhysician
CMS Certification Number390316
Location2752 Century BoulevardWyomissing, PA 19610 · Berks County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.6
Promoting Interoperability96
Improvement Activities40
Cost45.87

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
1 supplier14 claims14 services$40.13 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers12 claims12 services$55.28 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 20

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

Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

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 Stapinski's NPI number?

The NPI number for Brian Stapinski is 1598851313. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Brian Stapinski located?

Brian Stapinski practices at 301 S 7th Ave Suite 3220, West Reading, PA 19611. The listed phone number is (610) 376-8671.

What is Brian Stapinski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Stapinski enrolled in Medicare?

Yes. Brian Stapinski 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 Stapinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Stapinski reassigns Medicare benefits to Orthopaedic Associates Of Reading Ltd (Wyomissing, 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 Stapinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Stapinski affiliated with any hospitals?

According to CMS data, Brian Stapinski is affiliated with Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital and Surgical Institute Of Reading.

When was this NPI record last updated?

The NPPES record for Brian Stapinski was last updated on July 31, 2015. 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.