Brian Pickens (NPI# 1093712895, PAC ID# 5395800379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1093712895 |
| PAC ID by PECOS | 5395800379 |
| Professional Enrollment ID | I20090409000620 |
| Full Name | Brian Pickens |
| Organization Legal Name | SURGICAL GROUP OF GAINESVILLE PA |
| Address |
3140 Nw Medical Ctr Lane Suite 120 Lake City FL 32055-4735 |
| Phone Number | 3867556682 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5395635528 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| 100156 | LAKE CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 | 3523311201 | SURGICAL GROUP OF GAINESVILLE PA |
| 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 | 3867556682 | SURGICAL GROUP OF GAINESVILLE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 28% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | SURGICAL GROUP OF GAINESVILLE PA |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Kalb | Physician Assistant | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Jeffrey Lawrence Rose | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Katharine Joyce Lee | Physician Assistant | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Timothy A Hipp | General Surgery | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Gomattie Devi Ramprasad Howell | Physician Assistant | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Christopher Xzander Staudinger | General Surgery | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Stanley Deturris | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Eric Castaldo | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Panagiotis Sarantos | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Bradley Michael Schmit | General Surgery | Surgical Group of Gainesville Pa | 1143 Nw 64th Terrace, Gainesville, FL 32605-4218 |
| Street Address |
3140 NW MEDICAL CTR LANE SUITE 120 |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-4735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Schulman | Obstetrics/gynecology | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Donna Boucher | Obstetrics/gynecology | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Jeffrey Lawrence Rose | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Juline Mary Deen | Obstetrics/gynecology | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Stanley Deturris | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| David S Stewart | Obstetrics/gynecology | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Eric Castaldo | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Marlene M Summers | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Michael B Cotter | Obstetrics/gynecology | Florida Woman Care LLC | 3140 Nw Medical Ctr Lane, Suite 180, Lake City, FL 32055-4762 |
| Panagiotis Sarantos | General Surgery | Surgical Group of Gainesville Pa | 3140 Nw Medical Ctr Lane, Suite 120, Lake City, FL 32055-4735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAKE CITY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Brian Pickens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.