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Deactivated NPI 1356432983 Deactivated / Inactive NPI Male Practitioner

Dr. Brian Brantner , MD

Plastic Surgery • Prescott, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Brantner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date September 28, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Brian Brantner, MD was a registered Plastic Surgery practicing in Prescott, AZ. Throughout an active medical career spanning 12 years, Dr. Brantner provided care at the practice location at 830 AINSWORTH DR until profile deactivation on 2018-09-28.

Historical Medicare Part B clinical services included removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

830 Ainsworth Dr

Prescott, AZ 863011614

Telephone 9287760325
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Prescott, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 51.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Prescott, AZ (138 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
111 101 $1150.46 $533.79
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
107 95 $741.99 $401.97
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
102 98 $829.24 $378.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
89 83 $432.72 $122.09
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
68 64 $1353.03 $742.10
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
48 37 $678.06 $381.34
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
46 40 $689.26 $379.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
43 37 $76.35 $43.08
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
26 26 $495.27 $145.24
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
22 14 $1640.00 $759.26
11100 Biopsy of single growth of skin and/or tissue
20 16 $182.85 $93.37
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
20 20 $670.75 $303.00
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
19 18 $446.84 $126.26
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)
12 12 $1631.50 $917.80
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
11 11 $733.82 $357.89

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License AZ 48829

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Cecily Lunt , MSN, FNP

Nurse Practitioner

NPI 1073065462

Master of Science in Nursing, Family Nurse Practitioner

NPI 1336129667

Doctor of Medicine (M.D.)

NPI 1639173370

Doctor of Medicine (M.D.)

NPI 1639385644

Doctor of Medicine (M.D.)

NPI 1942234901

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated September 28, 2018

Record deactivated on September 28, 2018

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

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Updated Business Mailing Address January 29, 2018

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011630 (Tel: 9287760325)

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Updated Practice Location January 29, 2018

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011614 (Tel: 9287760325)

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Provider Name / Credentials Updated January 29, 2018

Recorded as BRIAN BRANTNER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Dermatology (License #48829 in AZ)

NPI Profile Active April 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 24, 2015

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011614 (Tel: 9287760325)

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Updated Business Mailing Address April 24, 2015

Registered at 830 AINSWORTH DR, PRESCOTT, AZ 863011614 (Tel: 9287760325)

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Provider Name / Credentials Updated April 24, 2015

Recorded as BRIAN BRANTNER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2015

Plastic Surgery (License #48829 in AZ)

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Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356432983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: April 24, 2015
Deactivation Date: September 28, 2018

Mailing Address

830 Ainsworth Dr

Prescott, AZ 863011614

Phone: 9287760325

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.