BRIAN L COOLBAUGH M.D.
NPI 1710094396
Radiology - Diagnostic Radiology in Brockton, MA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
235 N PEARL ST, BROCKTON, MA 02301(508) 427-2665(508) 427-2368 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Mar 3, 2026, Mar 13, 2025 (3 updates tracked since 2025).

About Brian L Coolbaugh M.d. NPPES

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

BRIAN L COOLBAUGH M.D. (NPI 1710094396) is an individual diagnostic radiology provider in Brockton, Massachusetts, licensed in Massachusetts (57375) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710094396
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBRIAN L COOLBAUGHCredential: M.D.
Location Address235 N PEARL STBrockton, MA 02301-1794
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118-2690
Fax(508) 427-2368
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1982
Enumeration DateAugust 23, 2006
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1710094396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 57375
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
235 N PEARL ST, Brockton, MA 02301

Secondary Practice Locations 2

Location 1736 Cambridge StBrighton, MA 02135-2907 · Phone (617) 789-2762
Location 2Milford Hospital, 14 Prospect Street, RadiologyMilford, MA 01757 · Phone (508) 422-2922

Other Identifiers 2

Medicaid110046266AMA
Medicaid3134990NH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian L Coolbaugh 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 ID9133112048
PECOS Enrollment IDI20260617002780
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Coolbaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
77 WARREN ST
Brighton, MA 02135
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1821349317 (Massachusetts)
  • 130 clinicians in this Medicare group
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 51

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
803 services648 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
265 services259 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
149 services146 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
137 services136 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
129 services126 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
126 services125 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Psychiatric Unit
235 N PEARL ST
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
235 N PEARL ST
BROCKTON, MA 02301
Internal Medicine
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant
235 N PEARL ST
BROCKTON, MA 02301
Emergency Medicine
235 N PEARL ST
BROCKTON, MA 02301
Dietitian, Registered
235 N PEARL ST
BROCKTON, MA 02301
Physician Assistant (Surgical)
235 N PEARL ST
BROCKTON, MA 02301

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 Coolbaugh's NPI number?

The NPI number for Brian Coolbaugh is 1710094396. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Brian Coolbaugh located?

Brian Coolbaugh practices at 235 N Pearl St, Brockton, MA 02301. The listed phone number is (508) 427-2665.

What is Brian Coolbaugh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brian Coolbaugh enrolled in Medicare?

Yes. Brian Coolbaugh 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.

Which organizations bill Medicare for Brian Coolbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Coolbaugh reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Brighton, MA) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Coolbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Coolbaugh accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Brian Coolbaugh 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 Coolbaugh affiliated with any hospitals?

According to CMS data, Brian Coolbaugh is affiliated with St Elizabeth's Medical Center, Morton Hospital, Holy Family Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Coolbaugh was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.