SAMUEL JOHN BRICKLEY PA-C
NPI 1720863129
Physician Assistant in Duluth, MN

Active since August 25, 2023PECOS EnrolledAccepts Medicare Assignment
4212 GRAND AVE, DULUTH, MN 55807(218) 786-3500 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Samuel John Brickley Pa-c NPPES

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

SAMUEL JOHN BRICKLEY PA-C (NPI 1720863129) is an individual physician assistant in Duluth, Minnesota, licensed in Minnesota (14646) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720863129
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL JOHN BRICKLEYCredential: PA-C
Location Address4212 GRAND AVEDuluth, MN 55807-2737
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 25, 2023
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1720863129 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 MN · 14646
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.
4212 GRAND AVE, Duluth, MN 55807

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

Samuel John Brickley Pa-c 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 ID8527415488
PECOS Enrollment IDI20231114003023
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 2

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.
91 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55807 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Physician Assistant
4212 GRAND AVE
DULUTH, MN 55807
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner
4212 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner (Family)
4212 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner
4212 GRAND AVE
DULUTH, MN 55807
Nurse Practitioner (Family)
4212 GRAND AVE
DULUTH, MN 55807
Family Medicine
4212 GRAND AVE
DULUTH, MN 55807

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 Samuel Brickley's NPI number?

The NPI number for Samuel Brickley is 1720863129. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Samuel Brickley located?

Samuel Brickley practices at 4212 Grand Ave, Duluth, MN 55807. The listed phone number is (218) 786-3500.

What is Samuel Brickley's specialty?

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

Is Samuel Brickley enrolled in Medicare?

Yes. Samuel Brickley 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 Samuel Brickley accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Samuel Brickley 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 Samuel Brickley affiliated with any hospitals?

According to CMS data, Samuel Brickley is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Samuel Brickley was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.