MR. BRIAN J FAGAN
NPI 1669013843
Counselor - Professional in Evanston, IL
About Mr. Brian J Fagan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRIAN J FAGAN (NPI 1669013843) is an individual professional provider in Evanston, Illinois, licensed in Illinois (180013731) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mr. Brian J Fagan 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 Reassignment
Medicare enrollment records show Brian Fagan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61109
- Reassigned Medicare billing, Illinois enrollment
- 23 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fagan's NPI number?
The NPI number for Brian Fagan is 1669013843. It was assigned to this individual provider in the NPPES registry on September 30, 2019.
Where is Brian Fagan located?
Brian Fagan practices at 820 Davis St Ste 222, Evanston, IL 60201. The listed phone number is (779) 368-0060.
What is Brian Fagan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brian Fagan enrolled in Medicare?
Yes. Brian Fagan 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 Fagan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Fagan reassigns Medicare benefits to Optum Behavioral Care Therapy Services Of Illinois PC (Rockford, IL). 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 Fagan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Fagan accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health and UnitedHealthcare list Brian Fagan 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.
When was this NPI record last updated?
The NPPES record for Brian Fagan was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Mr. Brian J Fagan · NPI 1669013843
Professional provider in Evanston, Illinois. Individual provider, active in the CMS NPPES registry since September 30, 2019.
## Identity
- **NPI:** 1669013843 (Entity type: Individual)
- **Enumerated:** September 30, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180013731 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 820 DAVIS ST STE 222, Evanston, IL 60201-4445
- **Phone:** (779) 368-0060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Optum Behavioral Care Therapy Services Of Illinois PC (NPI 1235949553, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669013843) · Data from the CMS NPPES public registry.