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DR. BRIAN PHILIP DEFADE D.O.
NPI 1679764534
Urology in Ashland, KY

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
1101 SAINT CHRISTOPHER DR, ASHLAND, KY 41101(606) 833-3333(606) 833-4668 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Philip Defade D.o. NPPES

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

DR. BRIAN PHILIP DEFADE D.O. (NPI 1679764534) is an individual urology provider in Ashland, Kentucky, licensed in Kentucky (03268) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1679764534
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BRIAN PHILIP DEFADECredential: D.O.
Location Address1101 SAINT CHRISTOPHER DRAshland, KY 41101-7087
Mailing Address1101 Saint Christopher DrAshland, KY 41101-7087 · (606) 833-3333 · Fax (606) 833-4668
Phone(606) 833-3333
Fax(606) 833-4668
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2004
Enumeration DateAugust 6, 2007
Last NPPES UpdateAugust 26, 2010
✔ NPI 1679764534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in KY · 03268
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1101 SAINT CHRISTOPHER DR, Ashland, KY 41101
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Other Identifiers 4

Medicaid7100120830KY
Medicare PINP400016485KY
Medicaid3062680OH
Other000000665202KY · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Florida Blue (BlueCross BlueShield FL) 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

Dr. Brian Philip Defade D.o. 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 ID5092851014
PECOS Enrollment IDI20250624003253
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.

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%351 patients5/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 30 patients
100%35 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%512 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
66%86 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%97 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LARRY S. FIELDS MD
Family Medicine
1101 SAINT CHRISTOPHER DR, SUITE 250
ASHLAND, KY 41101
Boyd County (606) 836-3196
RANCIE WAYNE HANNAH MD
Family Medicine
1101 SAINT CHRISTOPHER DR, SUITE 250
ASHLAND, KY 41101
Boyd County (606) 836-3196
MUSHTAQUE AHMED MD PSC
Internal Medicine
1101 SAINT CHRISTOPHER DR, SUITE 300
ASHLAND, KY 41101
Boyd County (606) 834-1188
MARK S. PACK, MD, PSC
Surgery
1101 SAINT CHRISTOPHER DR, SUITE 320
ASHLAND, KY 41101
Boyd County (606) 833-9556
JOHN HOWARD DARNELL JR. MD
Family Medicine
1101 SAINT CHRISTOPHER DR, SUITE 250
ASHLAND, KY 41101
Boyd County (606) 836-3196
DR. DEREK W, JONES D.O.
Family Medicine
1101 SAINT CHRISTOPHER DR, SUITE 250
ASHLAND, KY 41101
Boyd County (606) 836-3196
DR. MELODY DANIELLE PROUSE AU.D.
Audiologist
1101 SAINT CHRISTOPHER DR, SUITE 350
ASHLAND, KY 41101
Boyd County (606) 836-3681
ASHLAND BELLEFONTE OB-GYN
Specialist
1101 SAINT CHRISTOPHER DR, STE. 340
ASHLAND, KY 41101
Boyd County (606) 836-8188

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 Defade's NPI number?

The NPI number for Brian Defade is 1679764534. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Brian Defade located?

Brian Defade practices at 1101 Saint Christopher Dr, Ashland, KY 41101. The listed phone number is (606) 833-3333.

What is Brian Defade's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Brian Defade enrolled in Medicare?

Yes. Brian Defade 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 Brian Defade accept?

Health plans from AvMed, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Brian Defade 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 Defade affiliated with any hospitals?

According to CMS data, Brian Defade is affiliated with Hca Florida Twin Cities Hospital, Baptist Hospital and Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Brian Defade was last updated on August 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.