DR. BRIAN LAIN D.O.
NPI 1902265408
Internal Medicine in Port St Lucie, FL

Active since February 12, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 335-4000 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2021, Feb 12, 2016 (2 updates tracked since 2016).

About Dr. Brian Lain D.o. NPPES

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

DR. BRIAN LAIN D.O. (NPI 1902265408) is an individual internal medicine provider in Port St Lucie, Florida, licensed in Florida (OS15803) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902265408
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRIAN LAINCredential: D.O.
Location Address1800 SE TIFFANY AVEPort St Lucie, FL 34952-7521
Mailing Address1800 Se Tiffany AvePort St Lucie, FL 34952-7521 · (772) 335-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 12, 2016
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1902265408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS15803
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1800 SE TIFFANY AVE, Port St Lucie, FL 34952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Lain D.o. 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 ID1254671886
PECOS Enrollment IDI20231028000277, I20231218001754
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Brian Lain reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
316 SE INWOOD AVE
Port St Lucie, FL 34984
  • Reassigned Medicare billing, Florida enrollment
Hospitalist
410 SOUTH 11TH STREET
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 60 clinicians in this Medicare group
Hospitalist
1110 GULF BREEZE PKWY
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
Clinic/Center
148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858
  • Reassigned Medicare billing, Kentucky enrollment
  • 579 clinicians in this Medicare group
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1093338527 (Kentucky)
  • 999 clinicians in this Medicare group
Rural Health
500 CLINIC DR
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
Critical Access
310 FALLS BLVD S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 31 clinicians in this Medicare group
Urgent Care
3001 APACHE DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
408 services391 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 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.
22 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services11 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Emergency Medicine
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
Anesthesiology
1800 SE TIFFANY AVE
PORT SAINT LUCIE, FL 34952
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Nurse Anesthetist, Certified Registered
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Psychiatric Unit
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Radiology (Diagnostic Radiology)
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952
Family Medicine
1800 SE TIFFANY AVE
PORT ST LUCIE, FL 34952

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 Lain's NPI number?

The NPI number for Brian Lain is 1902265408. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Brian Lain located?

Brian Lain practices at 1800 SE Tiffany Ave, Port St Lucie, FL 34952. The listed phone number is (772) 335-4000.

What is Brian Lain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Lain enrolled in Medicare?

Yes. Brian Lain 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.

Which organizations bill Medicare for Brian Lain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Lain reassigns Medicare benefits to 11 organizations: Lifeline Mobile LLC (Port St Lucie, FL), Comprehensive Hospitalists Of Florida, LLC (Lake Wales, FL), Pensacola Hospitalist Physicians, LLC (Gulf Breeze, FL), Hospital Physician Services Of Florida PA (Pensacola, FL), Southeastern Physician Services PC (Oak Ridge, TN) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Lain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Lain accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage and Octave and 3 other insurers list Brian Lain 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 Lain affiliated with any hospitals?

According to CMS data, Brian Lain is affiliated with Baptist Health Hardin and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Brian Lain was last updated on May 10, 2021. 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.