BRIAN PAUL DUFFELL
NPI 1629426978
Emergency Medicine in East Norriton, PA
About Brian Paul Duffell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN PAUL DUFFELL (NPI 1629426978) is an individual emergency medicine provider in East Norriton, Pennsylvania, licensed in Pennsylvania (MD465002) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Aiken Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Paul Duffell 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.
Medicare Billing Reassignments
13Medicare enrollment records show Brian Duffell reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- 291 clinicians in this Medicare group
Everett, PA 15537
- Reassigned Medicare billing, Pennsylvania enrollment
- 80 clinicians in this Medicare group
Derry, NH 03038
- Reassigned Medicare billing, New Hampshire enrollment
- 145 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 187 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 414 clinicians in this Medicare group
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 clinicians in this Medicare group
Lake City, FL 32055
- Reassigned Medicare billing, Florida enrollment
- 210 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 105 clinicians in this Medicare group
Vero Beach, FL 32960
- Reassigned Medicare billing, Florida enrollment
- 66 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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aiken Regional Medical Center
Acute Care Hospitals · Aiken, SCTristar Summit Medical Center
Acute Care Hospitals · Hermitage, TNTristar Hendersonville Medical Center
Acute Care Hospitals · Hendersonville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST NORRITON, PA 19401
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 Duffell's NPI number?
The NPI number for Brian Duffell is 1629426978. It was assigned to this individual provider in the NPPES registry on May 27, 2016.
Where is Brian Duffell located?
Brian Duffell practices at 400 E Germantown Pike, East Norriton, PA 19401. The listed phone number is (610) 994-0063.
What is Brian Duffell's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brian Duffell enrolled in Medicare?
Yes. Brian Duffell 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 organizations bill Medicare for Brian Duffell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Duffell reassigns Medicare benefits to 13 organizations: Upmc Altoona (Altoona, PA), Upmc Bedford Memorial (Everett, PA), Emergency Medicine Services Of Nh, LLC (Derry, NH), Southeastern Emergency Physicians LLC (Maysville, KY), Sound Physicians Emergency Medicine Of South Carolina LLC (Aiken, SC) and 8 more organizations, listed in the Medicare section above. Each 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 Duffell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Duffell accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Brian Duffell 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 Duffell affiliated with any hospitals?
According to CMS data, Brian Duffell is affiliated with Aiken Regional Medical Center, Tristar Summit Medical Center and Tristar Hendersonville Medical Center.
When was this NPI record last updated?
The NPPES record for Brian Duffell was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Brian Paul Duffell · NPI 1629426978
Emergency Medicine physician in East Norriton, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 27, 2016.
## Identity
- **NPI:** 1629426978 (Entity type: Individual)
- **Enumerated:** May 27, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD465002 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E GERMANTOWN PIKE, East Norriton, PA 19401
- **Phone:** (610) 994-0063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Upmc Altoona (NPI 1497831655, Altoona, PA); Upmc Bedford Memorial (NPI 1184772113, Everett, PA); Emergency Medicine Services Of Nh, LLC (NPI 1386341444, Derry, NH); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Sound Physicians Emergency Medicine Of South Carolina LLC (NPI 1730636168, Aiken, SC); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** April 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629426978) · Data from the CMS NPPES public registry.