DR. MICHAEL A BROWN M.D.
NPI 1831180223
Orthopaedic Surgery - Sports Medicine in Worcester, MA

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01605(508) 334-1375(508) 334-5156 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Apr 21, 2017, Mar 29, 2016 (3 updates tracked since 2016).

About Dr. Michael A Brown M.d. NPPES

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

DR. MICHAEL A BROWN M.D. (NPI 1831180223) is an individual sports medicine provider in Worcester, Massachusetts, licensed in Massachusetts (210434) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Georgetown University School Of Medicine (1995).

NPPES Registry Identity

NPI1831180223
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MICHAEL A BROWNCredential: M.D.
Location Address281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERYWorcester, MA 01605-2138
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-5156
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1995
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
NPI 1831180223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in MA · 210434
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 210434 (MA)
281 LINCOLN ST, Worcester, MA 01605

Other Identifiers 1

Medicaid110003058AMA

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

Dr. Michael A 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 ID1052497815
PECOS Enrollment IDI20080320000011
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 8

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.
128 services101 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.
108 services108 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.
45 services42 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
41 services34 patients
Removal of both knee cartilages using an endoscope 29880
This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.
18 services18 patients
Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee G0289
Arthroscopy is a minimally invasive knee surgery used to diagnose and treat problems in the knee joint. This procedure involves removing loose or foreign bodies, and cleaning or shaving the damaged cartilage (chondroplasty). This can be done simultaneously with another knee arthroscopy in a different area of the same knee.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester 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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
2 suppliers13 claims13 services$469.18 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.

Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Audiologist
281 LINCOLN ST
WORCESTER, MA 01605

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 1831180223. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Michael Brown located?

Michael Brown practices at 281 Lincoln St Department Of Orthopedic Surgery, Worcester, MA 01605. The listed phone number is (508) 334-1375.

What is Michael Brown's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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 Anthem Blue Cross and Blue Shield 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 Umass Memorial Health - Harrington Hospital, Emerson Hospital -, Heywood Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Michael Brown was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.