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BRIAN M WALSH D.O.
NPI 1609108026
Internal Medicine in Danville, PA

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822(570) 271-6655(570) 214-3967 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian M Walsh D.o. NPPES

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

BRIAN M WALSH D.O. (NPI 1609108026) is an individual internal medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (OS015791) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609108026
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN M WALSHCredential: D.O.
Location Address100 NORTH ACADEMY AVENUEDanville, PA 17822
Mailing Address100 North Academy AvenueDanville, PA 17822 · (570) 271-6655 · Fax (570) 214-3967
Phone(570) 271-6655
Fax(570) 214-3967
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 10, 2010
Last NPPES UpdateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1609108026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS015791
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License FW2825923 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 NORTH ACADEMY AVENUE, Danville, PA 17822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 M Walsh 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 ID3870756901
PECOS Enrollment IDI20120529000438
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 13

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.
128 services103 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.
93 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services45 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
38 services38 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.
33 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390003
Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers38 claims42 services$17.81 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$895.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers30 claims30 services$5.70 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
10 suppliers114 claims118 services$97.13 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers33 claims33 services$35.04 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
6 suppliers12 claims960 services$0.81 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.

DR. ANDREA SEELEY M.D.
Pediatrics
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6440
DR. CATHERINE T SHOFF D.O.
Internal Medicine (Critical Care Medicine)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6655
MS. JAMIE L SEILER PA-C
Physician Assistant
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6439
CHELSEA ANN OBOURN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE, GEISINGER MEDICAL CENTER
DANVILLE, PA 17822
Montour County (570) 271-6211
MR. ASIM AHMAD KHAN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6775
GINO MONGELLUZZO M.D.
Radiology (Neuroradiology)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6301
DR. VANDAN SHAH M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6211
GEISINGER MEDICAL CENTER
General Acute Care Hospital
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 574-6224

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 Walsh's NPI number?

The NPI number for Brian Walsh is 1609108026. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Brian Walsh located?

Brian Walsh practices at 100 North Academy Avenue, Danville, PA 17822. The listed phone number is (570) 271-6655.

What is Brian Walsh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Walsh enrolled in Medicare?

Yes. Brian Walsh 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 Walsh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brian Walsh 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 Walsh affiliated with any hospitals?

According to CMS data, Brian Walsh is affiliated with Geisinger-Community Medical Center, Geisinger-Bloomsburg Hospital, Geisinger Medical Center, Evangelical Community Hospital and Geisinger-Lewistown Hospital.

When was this NPI record last updated?

The NPPES record for Brian Walsh was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.