DR. BRIAN MIDDLETON DPM
NPI 1679550628
Podiatrist in Rome, GA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
211 REDMOND RD NW, ROME, GA 30165(706) 802-1800(706) 802-0781 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian Middleton Dpm NPPES

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

DR. BRIAN MIDDLETON DPM (NPI 1679550628) is an individual podiatrist in Rome, Georgia, licensed in Georgia (000618) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1988).

NPPES Registry Identity

NPI1679550628
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. BRIAN MIDDLETONCredential: DPM
Location Address211 REDMOND RD NWRome, GA 30165-1537
Mailing AddressPo Box 2400Rome, GA 30164-2400 · (706) 802-1800 · Fax (706) 802-0781
Fax(706) 802-0781
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1988
Enumeration DateDecember 29, 2005
Last NPPES UpdateJanuary 25, 2011
NPI 1679550628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in GA · 000618
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
211 REDMOND RD NW, Rome, GA 30165

Other Identifiers 4

Medicaid000427567AGA
Medicare NSC4692630001GA
Medicare ID-Type Unspecified48SCBPP
Medicare UPINU00992GA

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

Dr. Brian Middleton Dpm 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 ID4284673492
PECOS Enrollment IDI20050427000870
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 17

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
338 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.
318 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
210 services117 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
197 services123 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
114 services59 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.
99 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

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

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf L4350
DME-Orthotic Devices · category DF000N
2 suppliers16 claims16 services$81.68 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 2

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

Clinic/Center (Podiatric)
211 REDMOND RD NW
ROME, GA 30165
Clinic/Center (Ambulatory Surgical)
211 REDMOND RD NW
ROME, GA 30165

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 Middleton's NPI number?

The NPI number for Brian Middleton is 1679550628. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Brian Middleton located?

Brian Middleton practices at 211 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 802-1800.

What is Brian Middleton's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Brian Middleton enrolled in Medicare?

Yes. Brian Middleton 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.

When was this NPI record last updated?

The NPPES record for Brian Middleton was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.