BRANDON DOVERSPIKE D.O.
NPI 1962811497
Family Medicine in Clarion, PA

Active since August 08, 2014PECOS EnrolledAccepts Medicare Assignment
24 DOCTORS LN, SUITE 202, CLARION, PA 16214(814) 226-2500(814) 226-2501 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Doverspike D.o. NPPES

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

BRANDON DOVERSPIKE D.O. (NPI 1962811497) is an individual family medicine provider in Clarion, Pennsylvania, licensed in Pennsylvania (OT015723) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1962811497
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDON DOVERSPIKECredential: D.O.
Location Address24 DOCTORS LN, SUITE 202Clarion, PA 16214-8568
Mailing Address210 Hamilton StNew Bethlehem, PA 16242-1226
Fax(814) 226-2501
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateAugust 8, 2014
NPI 1962811497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OT015723
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
24 DOCTORS LN, Clarion, PA 16214

Accepted 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

Brandon Doverspike 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 ID9830469717
PECOS Enrollment IDI20170726000475
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 14

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.

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.
110 services86 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.
110 services67 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
77 services38 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 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16214 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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…
78%144 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%46 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
76%63 patients4/55-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…
92%71 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
88%68 patients4/55-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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims39 services$5.58 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$41.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers11 claims11 services$62.81 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$31.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$114.08 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 20

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

Nurse Practitioner (Family)
24 DOCTORS LN, SUITE 304
CLARION, PA 16214
Clinic/Center
24 DOCTORS LN, SUITE 202
CLARION, PA 16214
Nurse Practitioner
24 DOCTORS LN
CLARION, PA 16214
Non-Pharmacy Dispensing Site
24 DOCTORS LN, SUITE 202
CLARION, PA 16214
Physical Medicine & Rehabilitation
24 DOCTORS LN, SUITE 104
CLARION, PA 16214
Family Medicine
24 DOCTORS LN, SUITE 202
CLARION, PA 16214
Physical Medicine & Rehabilitation
24 DOCTORS LN, SUITE 104
CLARION, PA 16214
Physician Assistant (Surgical)
24 DOCTORS LN, SUITE 102
CLARION, PA 16214

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 Brandon Doverspike's NPI number?

The NPI number for Brandon Doverspike is 1962811497. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Brandon Doverspike located?

Brandon Doverspike practices at 24 Doctors Ln Suite 202, Clarion, PA 16214. The listed phone number is (814) 226-2500.

What is Brandon Doverspike's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brandon Doverspike enrolled in Medicare?

Yes. Brandon Doverspike 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 Brandon Doverspike accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brandon Doverspike 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 Brandon Doverspike affiliated with any hospitals?

According to CMS data, Brandon Doverspike is affiliated with Penn Highlands Dubois, Clarion Hospital and Penn Highlands Brookville.

When was this NPI record last updated?

The NPPES record for Brandon Doverspike was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.