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DR. BRIAN ALAN PRYOR D.O.
NPI 1962730820
Plastic Surgery in Philadelphia, PA

Active since December 03, 2009PECOS EnrolledAccepts Medicare Assignment
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Alan Pryor D.o. NPPES

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

DR. BRIAN ALAN PRYOR D.O. (NPI 1962730820) is an individual plastic surgery provider in Philadelphia, Pennsylvania, licensed in Massachusetts (264815) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1962730820
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. BRIAN ALAN PRYORCredential: D.O.
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address300 Stafford Street, Suite 256Springfield, MA 01104-3513 · (413) 737-2981 · Fax (413) 748-7416
Phone(215) 871-6100
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateDecember 3, 2009
Last NPPES UpdateJune 6, 2017
✔ NPI 1962730820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MA · 264815
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X · License OT013221 (PA)
4170 CITY AVE, Philadelphia, PA 19131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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 Alan Pryor 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 ID1850692005
PECOS Enrollment IDI20151214001165
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

3

Medicare enrollment records show Brian Pryor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Health Of New England Provider Network Organization Inc
180 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325
Riverbend Medical Group, Inc.
200 mi
Internal Medicine
271 CAREW ST
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 298 clinicians in this Medicare group
NPI 1841651197 (413) 781-7217
Mass General Brigham Medical Group Western Massachusetts Inc
209 mi
Family Medicine
30 LOCUST ST
Northampton, MA 01060
  • Reassigned Medicare billing, Massachusetts enrollment
  • 539 clinicians in this Medicare group
NPI 1295787919 (413) 582-2898

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 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.

Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
27 services23 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
24 services23 patients
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11441
This procedure involves the removal of a noncancerous skin growth on areas of the face such as the nose, lips, mouth, ears, or eyelids. The growth size is between 0.6-1.0 cm. The goal is to improve comfort, function, or appearance.
14 services11 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11641
This procedure involves the careful removal of a small cancerous growth on the face, ears, eyelids, nose, lips, or mouth. It's a precise operation performed by a specialist to ensure complete removal of the cancer while preserving healthy tissue.
11 services11 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

DR. JAWAD AHMAD DO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
COURTNEY HARTWELL
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SHAINA YADAV
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SIMONA KOGAN
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
ALICE VO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
BRIANNA BECKER
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DANIELA D MARINARO
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6700
ZUHRA NASSERY
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100

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 Pryor's NPI number?

The NPI number for Brian Pryor is 1962730820. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Brian Pryor located?

Brian Pryor practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Brian Pryor's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Brian Pryor enrolled in Medicare?

Yes. Brian Pryor 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 Pryor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Pryor reassigns Medicare benefits to 3 organizations: Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Riverbend Medical Group, Inc. (Springfield, MA) and Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA). 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 Pryor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Pryor accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Brian Pryor 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 Pryor affiliated with any hospitals?

According to CMS data, Brian Pryor is affiliated with Mercy Medical Ctr.

When was this NPI record last updated?

The NPPES record for Brian Pryor was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.