DR. MICHAEL T. BROWN M.D.
NPI 1790700227
Surgery in West Reading, PA

Q: What is Michael Brown's NPI number?

The NPI number for Michael Brown is 1790700227. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Michael Brown's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Brown was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

301 S 7TH AVE, SUITE 305, WEST READING, PA 19611(610) 374-7720(610) 374-8852 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Michael T. Brown M.d. NPPES

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

DR. MICHAEL T. BROWN M.D. (NPI 1790700227) is an individual surgery provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD042962L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1986).

NPPES Registry Identity

NPI1790700227

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MICHAEL T. BROWNCredential: M.D.

Location Address301 S 7TH AVE, SUITE 305West Reading, PA 19611-1410

Mailing Address301 S 7th Ave, Suite 305West Reading, PA 19611-1410 · (610) 374-7720 · Fax (610) 374-8852

Phone(610) 374-7720

Fax(610) 374-8852

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986

Enumeration DateJuly 13, 2006

Last NPPES UpdateMarch 6, 2015

✔ NPI 1790700227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD042962L

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License MD042962L (PA)

301 S 7TH AVE, West Reading, PA 19611

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Other Identifiers 9

Other01143501PA · Keystone Health Plan Cent

Other01143501PA · Keystone Sr. Blue

Other0511233000PA · Keystone Health Plan East

Medicare ID-Type Unspecified677678QUJPA

Other5870040PA · Aetna

OtherBR677678PA · Highmark Blue Shield

Medicare UPINE90429PA

Other01143501PA · Capital Blue Cross

Medicaid001288730001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Michael T. Brown M.d. 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 ID648220905

PECOS Enrollment IDI20101004001300

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 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.

147 services117 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

38 services30 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

34 services34 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.

34 services34 patients

Biopsy of breast and placement of locating device using ultrasound, first growth 19083

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

30 services29 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

28 services26 patients

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.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

14 services14 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

14 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

81.19/100

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

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

22%304 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

3 suppliers12 claims120 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

2 suppliers11 claims220 services$5.98 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.

ANKUSH LAHOTI M.D.

Internal Medicine (Interventional Cardiology)

301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

Berks County (610) 375-6565

RANDALL S. WINN M.D.

Specialist

301 S 7TH AVE, STE 135
WEST READING, PA 19611

Berks County (610) 988-8929

MR. TIMOTHY W MYERS PT

Physical Therapist

301 S 7TH AVE, STE 3220
WEST READING, PA 19611

Berks County (610) 376-8671

BILAL SAULAT M.D.,

Psychiatry & Neurology (Neurology)

301 S 7TH AVE, SUITE 210
READING, PA 19611

Berks County (484) 628-4656

GAIL A. LUECKE M.D.

Specialist

301 S 7TH AVE, STE 135
WEST READING, PA 19611

Berks County (610) 988-8108

DR. JOHN D CASEY MD

Orthopaedic Surgery

301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611

Berks County (610) 376-8671

LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY

Physical Therapist

301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611

Berks County (610) 375-6147

EARL J HOPE M.D.

Internal Medicine (Interventional Cardiology)

301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611

Berks County (610) 375-6565

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 Michael Brown's NPI number?

The NPI number for Michael Brown is 1790700227. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Michael Brown located?

Michael Brown practices at 301 S 7th Ave Suite 305, West Reading, PA 19611. The listed phone number is (610) 374-7720.

What is Michael Brown's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Brown enrolled in Medicare?

Yes. Michael Brown 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 Michael Brown accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Brown 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 Michael Brown affiliated with any hospitals?

According to CMS data, Michael Brown is affiliated with Reading Hospital and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Michael Brown was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.