MR. BRIAN DAVID BAXLEY P.A.
NPI 1750572152
Physician Assistant - Medical in Brooklyn, NY

Q: What is Brian Baxley's NPI number?

The NPI number for Brian Baxley is 1750572152. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Brian Baxley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Baxley was last updated on August 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

450 CLARKSON AVE # 50, BROOKLYN, NY 11203(718) 951-7548 Get Directions Write a Review

NPPES record last updated: August 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Brian David Baxley P.a. NPPES

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

MR. BRIAN DAVID BAXLEY P.A. (NPI 1750572152) is an individual medical provider in Brooklyn, New York, licensed in New York (009697-1) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1750572152

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. BRIAN DAVID BAXLEYCredential: P.A.

Location Address450 CLARKSON AVE # 50Brooklyn, NY 11203-2056

Mailing Address6 Ilsa CtEast Northport, NY 11731-4621 · (718) 951-7548

Phone(718) 951-7548

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 9, 2007

Last NPPES UpdateAugust 18, 2007

✔ NPI 1750572152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 009697-1

450 CLARKSON AVE # 50, Brooklyn, NY 11203

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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

Mr. Brian David Baxley P.a. 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 ID8527367754

PECOS Enrollment IDI20160422000285

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.

Hospital Affiliations CMS Care Compare

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

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330195

Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County

Emergency services Birthing friendly

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier14 claims3,360 services$0.23 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier16 claims16 services$19.06 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier20 claims20 services$12.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

FNU URWA TUL VUSQA

Student in an Organized Health Care Education/Training Program