DR. BRIAN DANIEL THORNTON
NPI 1689625147
Internal Medicine - Nephrology in Roseville, CA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
151 N SUNRISE AVE, SUITE 611, ROSEVILLE, CA 95661(916) 789-1505(916) 789-1513 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Daniel Thornton NPPES

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

DR. BRIAN DANIEL THORNTON (NPI 1689625147) is an individual nephrology provider in Roseville, California, licensed in California (A72684) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1999).

NPPES Registry Identity

NPI1689625147
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BRIAN DANIEL THORNTON
Location Address151 N SUNRISE AVE, SUITE 611Roseville, CA 95661-2924
Mailing Address151 N Sunrise Ave, Suite 611Roseville, CA 95661-2924 · (916) 789-1505 · Fax (916) 789-1513
Fax(916) 789-1513
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 12, 2008
NPI 1689625147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A72684
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
151 N SUNRISE AVE, Roseville, CA 95661

Other Identifiers 4

MedicaidGR0100970CA
OtherA72684CA · Medical License
Medicare UPINH56238CA
Medicare ID-Type UnspecifiedZZZ02094ZCA

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 Daniel Thornton 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 ID4082642186
PECOS Enrollment IDI20050802000762
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 12

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
365 services120 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.
355 services227 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
107 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
88 services62 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers35 claims2,345 services$0.34 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims1,800 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims2,100 services$0.21 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers43 claims43 services$18.85 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers38 claims38 services$12.66 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 20

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

Speech-Language Pathologist
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661
Speech-Language Pathologist
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661
Physical Therapist
151 N SUNRISE AVE
ROSEVILLE, CA 95661
Speech-Language Pathologist
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661
Speech-Language Pathologist
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661
Occupational Therapist
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661
Acupuncturist
151 N SUNRISE AVE, SUITE #1009
ROSEVILLE, CA 95661
Occupational Therapist (Pediatrics)
151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

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 Thornton's NPI number?

The NPI number for Brian Thornton is 1689625147. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Brian Thornton located?

Brian Thornton practices at 151 N Sunrise Ave Suite 611, Roseville, CA 95661. The listed phone number is (916) 789-1505.

What is Brian Thornton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brian Thornton enrolled in Medicare?

Yes. Brian Thornton 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 Thornton was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.