BRIAN BEDNARSKI M.D.
NPI 1881813574
Surgery - Surgical Oncology in Houston, TX

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
1515 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 792-6161 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Bednarski M.d. NPPES

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

BRIAN BEDNARSKI M.D. (NPI 1881813574) is an individual surgical oncology provider in Houston, Texas, licensed in Texas (N9020) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2003).

NPPES Registry Identity

NPI1881813574
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameBRIAN BEDNARSKICredential: M.D.
Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4009
Mailing AddressP O Box 4439Houston, TX 77210-4439 · (713) 792-2991
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2003
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 16, 2012
NPI 1881813574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in TX · N9020
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

1515 HOLCOMBE BLVD, Houston, TX 77030

Other Identifiers 3

Other8CV519TX · Bcbs
Medicare PINTXB129238TX
Medicaid281914601TX

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 Bednarski 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 ID9234317181
PECOS Enrollment IDI20110624000335
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 5

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.

Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
20 services17 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
18 services17 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients
Colonoscopy NAN13
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
0 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Referred Medical Equipment & Supplies CMS DME claims 15

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
9 suppliers30 claims930 services$3.04 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers17 claims22 services$6.48 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
6 suppliers25 claims43 services$3.43 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers36 claims880 services$4.75 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
2 suppliers11 claims230 services$8.40 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
7 suppliers45 claims964 services$2.43 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 19

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

Ophthalmology
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Legal Medicine
1515 HOLCOMBE BLVD, UNIT 1414
HOUSTON, TX 77030
Clinical Neuropsychologist
1515 HOLCOMBE BLVD, MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine (Hematology & Oncology)
1515 HOLCOMBE BLVD, UNIT 426
HOUSTON, TX 77030
Internal Medicine (Rheumatology)
1515 HOLCOMBE BLVD
HOUSTON, TX 77030
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX 77030

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 Bednarski's NPI number?

The NPI number for Brian Bednarski is 1881813574. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Brian Bednarski located?

Brian Bednarski practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.

What is Brian Bednarski's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Brian Bednarski enrolled in Medicare?

Yes. Brian Bednarski 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.

When was this NPI record last updated?

The NPPES record for Brian Bednarski was last updated on July 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.