BRIAN TOBIAS D.O.
NPI 1720022692
Orthopaedic Surgery - Hand Surgery in Fort Worth, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.89/100
CMS Quality Rating
5612 EDWARDS RANCH RD, FORT WORTH, TX 76109(817) 420-9238(817) 357-4363 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2020, Nov 3, 2020 (2 updates tracked since 2020).

About Brian Tobias D.o. NPPES

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

BRIAN TOBIAS D.O. (NPI 1720022692) is an individual hand surgery provider in Fort Worth, Texas, licensed in Texas (J7232) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1986).

NPPES Registry Identity

NPI1720022692
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameBRIAN TOBIASCredential: D.O.
Location Address5612 EDWARDS RANCH RDFort Worth, TX 76109-4145
Mailing AddressPo Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 378-3699
Fax(817) 357-4363
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1986
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1720022692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in TX · J7232
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License J7232 (TX)
5612 EDWARDS RANCH RD, Fort Worth, TX 76109

Other Identifiers 4

OtherP00431991TX · Railroad Medicare Pin
Medicaid128863108TX
Other84039XTX · Bcbs
Medicaid128863107TX

Accepted 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

Brian Tobias 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 ID1850388414
PECOS Enrollment IDI20051111000026
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 13

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.

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.
134 services98 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.
103 services103 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
102 services75 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
99 services56 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
57 services51 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
37 services23 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76109 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

94.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$238.18 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$161.84 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.

Occupational Therapist
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Nurse Practitioner (Family)
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Nurse Practitioner (Family)
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Occupational Therapist (Physical Rehabilitation)
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Internal Medicine
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Family Medicine
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Nurse Practitioner (Family)
5612 EDWARDS RANCH RD
FORT WORTH, TX 76109
Orthopaedic Surgery
5612 EDWARDS RANCH RD
FT WORTH, TX 76109

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 Tobias's NPI number?

The NPI number for Brian Tobias is 1720022692. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Brian Tobias located?

Brian Tobias practices at 5612 Edwards Ranch Rd, Fort Worth, TX 76109. The listed phone number is (817) 420-9238.

What is Brian Tobias's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Brian Tobias enrolled in Medicare?

Yes. Brian Tobias 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 Tobias accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brian Tobias 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 Tobias affiliated with any hospitals?

According to CMS data, Brian Tobias is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Brian Tobias was last updated on December 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.