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RICHARD SHANE BROWN M.D.
NPI 1679538177
Surgery in Westerville, OH

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
477 COOPER RD, SUITE 440, WESTERVILLE, OH 43081(380) 898-5561(380) 898-5563 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Richard Shane Brown M.d. NPPES

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

RICHARD SHANE BROWN M.D. (NPI 1679538177) is an individual surgery provider in Westerville, Ohio, licensed in Ohio (35.080268) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of University Of Cincinnati College Of Medicine (2000).

NPPES Registry Identity

NPI1679538177
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD SHANE BROWNCredential: M.D.
Location Address477 COOPER RD, SUITE 440Westerville, OH 43081-8053
Mailing Address477 Cooper Rd Ste 440Westerville, OH 43081-8055 · (380) 898-5561 · Fax (380) 898-5563
Phone(380) 898-5561
Fax(380) 898-5563
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2000
Enumeration DateApril 18, 2006
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1679538177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.080268
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.
477 COOPER RD, Westerville, OH 43081
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Other Identifiers 1

Medicaid4811552MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare, Oscar Health Insurance 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

Richard Shane Brown 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 ID7113949355
PECOS Enrollment IDI20101019001584
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 4

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.

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.
38 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 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.
23 services23 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.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 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.

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.

ALISON RUSSOLILLO
Nurse Practitioner (Family)
477 COOPER RD
WESTERVILLE, OH 43081
Franklin County (614) 464-0788
DR. CAROLYN MARIE GIGLIOTTI AU.D.
Audiologist
477 COOPER RD, SUITE 480
WESTERVILLE, OH 43081
Franklin County (614) 823-7135
DONNA J. LOCHER R.N., CNM, CNP
Nurse Practitioner (Obstetrics & Gynecology)
477 COOPER RD, SUITE 150
WESTERVILLE, OH 43081
Franklin County (614) 865-7600
MOUNT CARMEL HEALTH
Family Medicine
477 COOPER RD, SUITE 300
WESTERVILLE, OH 43081
Franklin County (614) 898-8808
MOUNT CARMEL HEALTH PROVIDERS TWO LLC
Internal Medicine (Cardiovascular Disease)
477 COOPER RD, SUITE 200
WESTERVILLE, OH 43081
Franklin County (614) 459-7676
MOUNT CARMEL HEALTH
Family Medicine
477 COOPER RD, SUITE 300
WESTERVILLE, OH 43081
Franklin County (614) 898-8808
BREAST CARE SPECIALISTS, INC.
Surgery
477 COOPER RD, SUITE 310
WESTERVILLE, OH 43081
Franklin County (614) 865-9200
MOUNT CARMEL HEALTH PROVIDERS INC
Family Medicine
477 COOPER RD, SUITE 200
WESTERVILLE, OH 43081
Franklin County (614) 898-5690

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 Richard Brown's NPI number?

The NPI number for Richard Brown is 1679538177. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Richard Brown located?

Richard Brown practices at 477 Cooper Rd Suite 440, Westerville, OH 43081. The listed phone number is (380) 898-5561.

What is Richard Brown's specialty?

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

Is Richard Brown enrolled in Medicare?

Yes. Richard Brown 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 Richard Brown accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Richard Brown 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 Richard Brown affiliated with any hospitals?

According to CMS data, Richard Brown is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Richard Brown was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.