BRENDAN ALEXANDER MICCIO DO
NPI 1841920071
Emergency Medicine in Augusta, GA

Active since June 11, 2022PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-4951 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brendan Alexander Miccio Do NPPES

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

BRENDAN ALEXANDER MICCIO DO (NPI 1841920071) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (13813) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2022).

NPPES Registry Identity

NPI1841920071
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRENDAN ALEXANDER MICCIOCredential: DO
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address3315 Oakridge DrAugusta, GA 30909-2437 · (201) 675-2559
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2022
Enumeration DateJune 11, 2022
NPPES CertifiedJune 11, 2022
NPI 1841920071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in GA · 13813
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1120 15TH ST, Augusta, GA 30912

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 (PECOS)

Brendan Alexander Miccio Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365822160
PECOS Enrollment IDI20260702002776
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.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Anesthesiology
1120 15TH ST
AUGUSTA, GA 30912

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 Brendan Miccio's NPI number?

The NPI number for Brendan Miccio is 1841920071. It was assigned to this individual provider in the NPPES registry on June 11, 2022.

Where is Brendan Miccio located?

Brendan Miccio practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-4951.

What is Brendan Miccio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brendan Miccio enrolled in Medicare?

Yes. Brendan Miccio is registered in the Medicare PECOS enrollment system.

What insurance does Brendan Miccio accept?

Health plans from Alliant Health Plans, Inc. list Brendan Miccio 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 Brendan Miccio affiliated with any hospitals?

According to CMS data, Brendan Miccio is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Brendan Miccio was last updated on June 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.