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DR. BRIAN MCCARDEL MD
NPI 1942206768
Orthopaedic Surgery in Lansing, MI

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
3394 E JOLLY RD, STE A, LANSING, MI 48910(517) 394-3200(517) 394-4250 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Mccardel Md NPPES

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

DR. BRIAN MCCARDEL MD (NPI 1942206768) is an individual orthopaedic surgery provider in Lansing, Michigan, licensed in Michigan (4301055763) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1985).

NPPES Registry Identity

NPI1942206768
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BRIAN MCCARDELCredential: MD
Location Address3394 E JOLLY RD, STE ALansing, MI 48910-8595
Mailing Address3394 E Jolly Rd, Ste ALansing, MI 48910-8595 · (517) 394-3200 · Fax (517) 394-4250
Phone(517) 394-3200
Fax(517) 394-4250
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1985
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 13, 2018
✔ NPI 1942206768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301055763
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.
3394 E JOLLY RD, Lansing, MI 48910
Open in Google Maps ↗

Other Identifiers 4

Medicaid3515597MI
Other200000001131MI · Physicians Health Plan
Other0334204MI · Bluecare Network
Other2003342042MI · Blue Cross/blue Shild

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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 Mccardel Md 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 ID9739151051
PECOS Enrollment IDI20200330003197
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 7

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
25 services24 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.
24 services21 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.
21 services21 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.
19 services19 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
18 services18 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48910 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 10

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

DR. MICHAEL P MCDERMOTT M.D.
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Ingham County (517) 394-3200
DR. JUSTUS JOHN FIECHTNER M.D.,M.P.H.
Internal Medicine (Rheumatology)
3394 E JOLLY RD, SUITE C
LANSING, MI 48910
Ingham County (517) 272-9700
MR. TIMOTHY JAMES FRATICELLI DPT
Physical Therapist
3394 E JOLLY RD
LANSING, MI 48910
Ingham County (517) 853-6800
QUEST DIAGNOSTICS INCORPORATED MI
Clinical Medical Laboratory
3394 E JOLLY RD, SUITE C
LANSING, MI 48910
Ingham County (517) 272-9700
EAST LANSING ORTHOPEDIC ASSOCIATION P C
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Ingham County (517) 394-3200
DR. WESLEY C. LOCKHART, PC
Neuromusculoskeletal Medicine & OMM
3394 E JOLLY RD, SUITE D
LANSING, MI 48910
Ingham County (517) 203-0183
DR. DAVID A DETRISAC MD
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Ingham County (517) 394-3200
DR. KENNETH M MORRISON MD
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Ingham County (517) 394-3200

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 Mccardel's NPI number?

The NPI number for Brian Mccardel is 1942206768. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Brian Mccardel located?

Brian Mccardel practices at 3394 E Jolly Rd Ste A, Lansing, MI 48910. The listed phone number is (517) 394-3200.

What is Brian Mccardel's specialty?

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

Is Brian Mccardel enrolled in Medicare?

Yes. Brian Mccardel 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 Mccardel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Brian Mccardel 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.

When was this NPI record last updated?

The NPPES record for Brian Mccardel was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.