BRANDON JAMES HART MD
NPI 1770077562
Family Medicine in Mason City, IA

Q: What is Brandon Hart's NPI number?

The NPI number for Brandon Hart is 1770077562. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Q: What is Brandon Hart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Hart was last updated on July 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment

621 S ILLINOIS AVE, MASON CITY, IA 50401(641) 428-6900 Get Directions Write a Review

NPPES record last updated: July 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2024, Jul 1, 2024, Jun 11, 2021 and 1 more (4 updates tracked since 2018).

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About Brandon James Hart Md NPPES

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

BRANDON JAMES HART MD (NPI 1770077562) is an individual family medicine provider in Mason City, Iowa, licensed in Iowa (MD-51288) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2018).

NPPES Registry Identity

NPI1770077562

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRANDON JAMES HARTCredential: MD

Location Address621 S ILLINOIS AVEMason City, IA 50401-5405

Mailing Address621 S Illinois Ave Ste 100Mason City, IA 50401-5489 · (641) 428-6900

Phone(641) 428-6900

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2018

Enumeration DateJune 15, 2018

Last NPPES UpdateJuly 28, 20244 updates tracked since enumeration

NPPES CertifiedJuly 28, 2024

✔ NPI 1770077562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IA · MD-51288✔ Licensed in IA · R-12083

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

621 S ILLINOIS AVE, Mason City, IA 50401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Brandon James Hart Md 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 ID6305195017

PECOS Enrollment IDI20240718003839

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 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.

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.

240 services134 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.

118 services84 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Hospital Affiliations CMS Care Compare

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims810 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.12 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 17

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

ROBERT BORGMAN MD

Family Medicine

621 S ILLINOIS AVE, SUITTE 100
MASON CITY, IA 50401

Cerro Gordo County (641) 422-6900

SUSAN A MULLENBACH ARNP

Nurse Practitioner (Family)

621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401

Cerro Gordo County (641) 422-6900

MS. ALYSSA ANNE RIDER MS, RD, LD

Dietitian, Registered

621 S ILLINOIS AVE
MASON CITY, IA 50401

Cerro Gordo County (641) 428-2320

NORTH IOWA MERCY CLINICS

Family Medicine

621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401

Cerro Gordo County (641) 428-6600

DR. SHUMAILA MASOOD M.D.

Family Medicine

621 S ILLINOIS AVE
MASON CITY, IA 50401

Cerro Gordo County (641) 428-6900

NIMALKA PANAMULLA JAYATILLEKA MD

Family Medicine

621 S ILLINOIS AVE, SUITE 100
MASON CITY, IA 50401

Cerro Gordo County (641) 428-6900

SMITHA A KANAK MD

Internal Medicine

621 S ILLINOIS AVE
MASON CITY, IA 50401

Cerro Gordo County (641) 494-3000

SARAH SWEGLE RPH

Pharmacist

621 S ILLINOIS AVE, SUITE 104
MASON CITY, IA 50401

Cerro Gordo County (641) 422-6944

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 Brandon Hart's NPI number?

The NPI number for Brandon Hart is 1770077562. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Brandon Hart located?

Brandon Hart practices at 621 S Illinois Ave, Mason City, IA 50401. The listed phone number is (641) 428-6900.

What is Brandon Hart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brandon Hart enrolled in Medicare?

Yes. Brandon Hart 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 Brandon Hart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Brandon Hart 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 Brandon Hart affiliated with any hospitals?

According to CMS data, Brandon Hart is affiliated with Mercyone North Iowa Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Hart was last updated on July 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.