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BRIAN R INGRAM PA
NPI 1700368495
Physician Assistant in Edgewood, NM

Active since August 30, 2018PECOS EnrolledAccepts Medicare Assignment
1851 OLD HWY 66, EDGEWOOD, NM 87015(505) 286-2396(505) 286-2398 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian R Ingram Pa NPPES

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

BRIAN R INGRAM PA (NPI 1700368495) is an individual physician assistant in Edgewood, New Mexico, licensed in New Mexico (PA2018-0050) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700368495
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN R INGRAMCredential: PA
Location Address1851 OLD HWY 66Edgewood, NM 87015
Mailing Address12127b Hwy 14 N Ste 5Cedar Crest, NM 87008-9499 · (505) 281-5180 · Fax (505) 281-5320
Phone(505) 286-2396
Fax(505) 286-2398
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 30, 2018
✔ NPI 1700368495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NM · PA2018-0050
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1851 OLD HWY 66, Edgewood, NM 87015
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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

Brian R Ingram Pa 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 ID4082965801
PECOS Enrollment IDI20240220004160
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

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87015 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 2

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

DR. STEPHEN L HARRINGTON DDS
Dentist (General Practice)
1851 OLD HWY 66, SUITE C
EDGEWOOD, NM 87015
Santa Fe County (505) 281-0373
MARGARET BARBOUR VON HENDRICKS
Nurse Practitioner (Family)
1851 OLD HWY 66
EDGEWOOD, NM 87015
Santa Fe County (505) 286-2396

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 Ingram's NPI number?

The NPI number for Brian Ingram is 1700368495. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Brian Ingram located?

Brian Ingram practices at 1851 Old Hwy 66, Edgewood, NM 87015. The listed phone number is (505) 286-2396.

What is Brian Ingram's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Ingram enrolled in Medicare?

Yes. Brian Ingram 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.

Is Brian Ingram affiliated with any hospitals?

According to CMS data, Brian Ingram is affiliated with Carilion Medical Center and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Ingram was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.