DR. BRIAN L BIXLER M.D.
NPI 1841290061
Orthopaedic Surgery in York, PA

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Brian L Bixler M.d. NPPES

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

DR. BRIAN L BIXLER M.D. (NPI 1841290061) is an individual orthopaedic surgery provider in York, Pennsylvania, licensed in Pennsylvania (MD058156L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1994).

NPPES Registry Identity

NPI1841290061
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRIAN L BIXLERCredential: M.D.
Location Address1855 POWDER MILL RDYork, PA 17402-4723
Mailing Address1861 Powder Mill Rd, Attn Medical Staff OfficeYork, PA 17402-4723 · (717) 718-2041 · Fax (717) 718-3470
Fax(717) 741-9867
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1994
Enumeration DateJuly 29, 2005
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
NPI 1841290061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD058156L
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1855 POWDER MILL RD, York, PA 17402

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. Brian L Bixler 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 ID5395656714
PECOS Enrollment IDI20100310000135
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 26

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.
450 services420 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.
392 services363 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
266 services265 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
262 services237 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.
181 services181 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
164 services150 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.73
Promoting Interoperability100
Improvement Activities40
Cost93.32

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.

Nurse Practitioner (Acute Care)
1855 POWDER MILL RD
YORK, PA 17402
Physician Assistant
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Family Medicine
1855 POWDER MILL RD
YORK, PA 17402
Occupational Therapist (Hand)
1855 POWDER MILL RD
YORK, PA 17402

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 Bixler's NPI number?

The NPI number for Brian Bixler is 1841290061. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Brian Bixler located?

Brian Bixler practices at 1855 Powder Mill Rd, York, PA 17402. The listed phone number is (717) 848-4800.

What is Brian Bixler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Brian Bixler enrolled in Medicare?

Yes. Brian Bixler 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 Brian Bixler accept?

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

According to CMS data, Brian Bixler is affiliated with Wellspan York Hospital, Upmc Memorial and Oss Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Brian Bixler was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.