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DR. BRIAN PELLINI M.D.
NPI 1972632198
Surgery in Doylestown, PA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
599 W STATE STREET, SUITE 302, DOYLESTOWN, PA 18901(215) 348-7195(215) 348-8633 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian Pellini M.d. NPPES

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

DR. BRIAN PELLINI M.D. (NPI 1972632198) is an individual surgery provider in Doylestown, Pennsylvania, licensed in Pennsylvania (445433) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Doylestown Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2006).

NPPES Registry Identity

NPI1972632198
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRIAN PELLINICredential: M.D.
Location Address599 W STATE STREET, SUITE 302Doylestown, PA 18901-2554
Mailing AddressPo Box 829641Philadelphia, PA 19182-0001 · (672) 370-5296 · Fax (215) 230-3725
Phone(215) 348-7195
Fax(215) 348-8633
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2006
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1972632198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · 445433✔ Licensed in CT · 049884
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
599 W STATE STREET, Doylestown, PA 18901
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Other Identifiers 1

Other244538K3HPA · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Pellini 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 ID5294912416
PECOS Enrollment IDI20120813000071
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 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.
49 services49 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.
45 services40 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.
39 services34 patients
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.
37 services37 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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

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

DR. DEANNA BLANCHARD MD
Surgery
599 W STATE STREET, SUITE 302
DOYLESTOWN, PA 18901
Bucks County (215) 348-7080

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 Pellini's NPI number?

The NPI number for Brian Pellini is 1972632198. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Brian Pellini located?

Brian Pellini practices at 599 W State Street Suite 302, Doylestown, PA 18901. The listed phone number is (215) 348-7195.

What is Brian Pellini's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Pellini enrolled in Medicare?

Yes. Brian Pellini 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 Pellini accept?

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

According to CMS data, Brian Pellini is affiliated with Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Brian Pellini was last updated on September 10, 2020. 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.