BRIAN L PIAZZA M.D.
NPI 1881703809
Surgery in Plymouth, IN

Q: What is Brian Piazza's NPI number?

The NPI number for Brian Piazza is 1881703809. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Brian Piazza'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 Brian Piazza was last updated on November 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

1919 LAKE AVE STE 104, PLYMOUTH, IN 46563(574) 948-5170(574) 948-5498 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2023, Sep 14, 2016 (2 updates tracked since 2016).

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About Brian L Piazza M.d. NPPES

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

BRIAN L PIAZZA M.D. (NPI 1881703809) is an individual surgery provider in Plymouth, Indiana, licensed in Indiana (01066413A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center - Plymouth, and is a graduate of Indiana University School Of Medicine (1990).

NPPES Registry Identity

NPI1881703809

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBRIAN L PIAZZACredential: M.D.

Location Address1919 LAKE AVE STE 104Plymouth, IN 46563-7830

Mailing Address707 Cedar St Ste 405South Bend, IN 46617-2059

Phone(574) 948-5170

Fax(574) 948-5498

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1990

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1881703809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IN · 01066413A✔ Licensed in MI · BP056021

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.

1919 LAKE AVE STE 104, Plymouth, IN 46563

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Other Identifiers 2

Medicaid200980180IN

Medicaid3510115MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Brian L Piazza 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 ID1850379470

PECOS Enrollment IDI20100304000233

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 11

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.

77 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

40 services37 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.

27 services27 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.

27 services25 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

19 services18 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

19 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

17 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

15 services14 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150076

Location1915 Lake AvePlymouth, IN 46563 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$60.67 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$309.38 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 3

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

DR. ADAM ERIC PERLMUTTER DO

Urology

1919 LAKE AVE STE 104
PLYMOUTH, IN 46563

Marshall County (574) 948-5390

NANCY C HAN M.D.

Surgery

1919 LAKE AVE STE 104
PLYMOUTH, IN 46563

Marshall County (574) 948-5170

BLAKE HOOD DO

Surgery

1919 LAKE AVE STE 104
PLYMOUTH, IN 46563

Marshall County (574) 948-5170

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 Piazza's NPI number?

The NPI number for Brian Piazza is 1881703809. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Brian Piazza located?

Brian Piazza practices at 1919 Lake Ave Ste 104, Plymouth, IN 46563. The listed phone number is (574) 948-5170.

What is Brian Piazza's specialty?

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

Is Brian Piazza enrolled in Medicare?

Yes. Brian Piazza 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 Piazza accept?

Health plans from CareSource list Brian Piazza 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 Piazza affiliated with any hospitals?

According to CMS data, Brian Piazza is affiliated with Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Brian Piazza was last updated on November 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.