DR. BRIAN ANDREW TINSLEY M.D.
NPI 1962722199
Orthopaedic Surgery - Hand Surgery in West Reading, PA

Active since June 10, 2010PECOS EnrolledAccepts Medicare Assignment
75.74/100
CMS Quality Rating
301 S 7TH AVE STE 3220, WEST READING, PA 19611(610) 376-8671(610) 376-6387 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017, Jul 11, 2016 (3 updates tracked since 2016).

About Dr. Brian Andrew Tinsley M.d. NPPES

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

DR. BRIAN ANDREW TINSLEY M.D. (NPI 1962722199) is an individual hand surgery provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD459792) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Boston University School Of Medicine (2017).

NPPES Registry Identity

NPI1962722199
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. BRIAN ANDREW TINSLEYCredential: M.D.
Location Address301 S 7TH AVE STE 3220West Reading, PA 19611-1493
Mailing AddressUconn Health Center Marb Fl 4, 263 Farmington AveFarmington, CT 06030-0001 · (860) 679-6600
Fax(610) 376-6387
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2017
Enumeration DateJune 10, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1962722199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in PA · MD459792
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
301 S 7TH AVE STE 3220, West Reading, PA 19611

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 Andrew Tinsley 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 ID8325340003
PECOS Enrollment IDI20161221001525
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 33

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
564 services305 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
372 services56 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.
347 services271 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.
323 services271 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
213 services171 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
203 services121 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Surgical Institute Of Reading

Acute Care Hospitals · Wyomissing, PA
OwnershipPhysician
CMS Certification Number390316
Location2752 Century BoulevardWyomissing, PA 19610 · Berks County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.6
Promoting Interoperability96
Improvement Activities40
Cost45.87

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
23%274 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%278 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$185.77 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$199.90 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
2 suppliers33 claims40 services$64.18 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 5

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

Physician Assistant (Medical)
301 S 7TH AVE STE 3220
WEST READING, PA 19611
Physician Assistant
301 S 7TH AVE STE 3220
WEST READING, PA 19611
Physician Assistant
301 S 7TH AVE STE 3220
WEST READING, PA 19611
Orthopaedic Surgery (Orthopaedic Trauma)
301 S 7TH AVE STE 3220
WEST READING, PA 19611
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
301 S 7TH AVE STE 3220
WEST READING, PA 19611

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 Tinsley's NPI number?

The NPI number for Brian Tinsley is 1962722199. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Brian Tinsley located?

Brian Tinsley practices at 301 S 7th Ave Ste 3220, West Reading, PA 19611. The listed phone number is (610) 376-8671.

What is Brian Tinsley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Brian Tinsley enrolled in Medicare?

Yes. Brian Tinsley 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.

Is Brian Tinsley affiliated with any hospitals?

According to CMS data, Brian Tinsley is affiliated with Reading Hospital and Surgical Institute Of Reading.

When was this NPI record last updated?

The NPPES record for Brian Tinsley was last updated on July 21, 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.