1. Home
  2. Directory
  3. Wisconsin
  4. Racine
  5. Emergency Medicine
  6. NPI Profile

BRIAN MICHAEL AMES M.D.
NPI 1730353517
Emergency Medicine in Racine, WI

Active since April 14, 2008PECOS Enrolled
3805B SPRING ST, STE 230, RACINE, WI 53405(262) 631-8740 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Michael Ames M.d. NPPES

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

BRIAN MICHAEL AMES M.D. (NPI 1730353517) is an individual emergency medicine provider in Racine, Wisconsin, licensed in Wisconsin (54162-20) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730353517
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN MICHAEL AMESCredential: M.D.
Location Address3805B SPRING ST, STE 230Racine, WI 53405-1643
Mailing Address209a 55th StKenosha, WI 53140-3775 · (262) 484-4705
Phone(262) 631-8740
Sole ProprietorNo
Enumeration DateApril 14, 2008
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1730353517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 54162-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3805B SPRING ST, Racine, WI 53405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Michael Ames M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Brian Ames reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
19 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
119 services116 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
106 services103 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

BRUCE A LUCCAS, MD, LLC
Family Medicine
3805B SPRING ST, STE 130
RACINE, WI 53405
Racine County (262) 631-8750
INDER PAUL SINGH
Ophthalmology
3805B SPRING ST, SUITE 140
RACINE, WI 53405
Racine County (262) 637-8835
AHMED SIDDIG MUHAMMED AHMED MD
Psychiatry & Neurology (Neurology)
3805B SPRING ST, STE 320
RACINE, WI 53405
Racine County (262) 687-8322
DRS DECHECK AND MATACZYNSKI MD SC
Family Medicine
3805B SPRING ST, SUITE250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
JAMES SCARPACI MSW LCSW CADC III
Social Worker (Clinical)
3805B SPRING ST, SUITE 20
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
DR. JAMES DEAN MATACZYNSKI MD
Family Medicine
3805B SPRING ST, SUITE 250
MOUNT PLEASANT, WI 53405
Racine County (262) 634-6679
MICHAEL DEROSE LCSW
Social Worker (Clinical)
3805B SPRING ST, SUITE 320
MOUNT PLEASANT, WI 53405
Racine County (262) 687-2222
STEPHEN V. MAWN M.D.
Preventive Medicine (Occupational Medicine)
3805B SPRING ST, SUITE 260
RACINE, WI 53405
Racine County (262) 687-6150

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 Ames's NPI number?

The NPI number for Brian Ames is 1730353517. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Brian Ames located?

Brian Ames practices at 3805B Spring St Ste 230, Racine, WI 53405. The listed phone number is (262) 631-8740.

What is Brian Ames's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Ames enrolled in Medicare?

Yes. Brian Ames is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Ames's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Ames reassigns Medicare benefits to Aurora Medical Group, Inc. (Milwaukee, WI). The 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 Ames's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Ames accept?

Health plans from CareSource (Common Ground Healthcare) list Brian Ames 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.

When was this NPI record last updated?

The NPPES record for Brian Ames was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.