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BRANDON E COLVIN M.D.
NPI 1669733960
Surgery in Lima, OH

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804(419) 998-8207(419) 998-8216 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon E Colvin M.d. NPPES

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

BRANDON E COLVIN M.D. (NPI 1669733960) is an individual surgery provider in Lima, Ohio, licensed in Ohio (35.134199) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669733960
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRANDON E COLVINCredential: M.D.
Location Address1003 BELLEFONTAINE AVE STE 125Lima, OH 45804-1867
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4514
Phone(419) 998-8207
Fax(419) 998-8216
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 4, 2012
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1669733960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.134199
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1003 BELLEFONTAINE AVE STE 125, Lima, OH 45804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brandon E Colvin 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 ID3870892235
PECOS Enrollment IDI20200603002299
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 3

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.

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.
19 services19 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.
18 services13 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.25 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
3 suppliers11 claims11 services$111.53 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 15

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

JONATHAN T EATON PA, AT
Physician Assistant (Surgical)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
SHANNON R WESLEY
Colon & Rectal Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
TERESA RENEE WALTERS
Nurse Practitioner (Family)
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
DR. PHILIP SCOTT GAFFORD MD
Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
ANDREW W WAYMAN PA-C
Physician Assistant
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
JAYLA M BALBAUGH
Physician Assistant
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
ROBERT LOVE BAKER II DO
Neurological Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207
DR. JEFFREY STUART LOBEL M.D.
Neurological Surgery
1003 BELLEFONTAINE AVE STE 125
LIMA, OH 45804
Allen County (419) 998-8207

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 Brandon Colvin's NPI number?

The NPI number for Brandon Colvin is 1669733960. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Brandon Colvin located?

Brandon Colvin practices at 1003 Bellefontaine Ave Ste 125, Lima, OH 45804. The listed phone number is (419) 998-8207.

What is Brandon Colvin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brandon Colvin enrolled in Medicare?

Yes. Brandon Colvin 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 Brandon Colvin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Brandon Colvin 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 Brandon Colvin affiliated with any hospitals?

According to CMS data, Brandon Colvin is affiliated with Lima Memorial Health System, Grand Lake Health System, Mercy Health-St Rita's Medical Center and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Colvin was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.