Active NPI 1093712895 Individual Practitioner Male Practitioner

Dr. Brian E Pickens , MD

Surgery • Gainesville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Pickens, MD is a certified Surgery practicing in Gainesville, FL. With approximately 29 years of clinical experience since graduating from University Of Florida College Of Medicine in 1997, Dr. Pickens delivers high-quality medical care to the local community at 1143 NW 64TH TER.

Dr. Pickens is affiliated with North Florida Surgical Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1143 Nw 64th Ter

Gainesville, FL 326054218

Telephone 3523311201

Fax 3523315273

Associated Practice Facility / Clinic

🏢 Surgical Group Of Gainesville Pa Facility NPI 1396737615

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gainesville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +10.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

76 Specialists

Practicing in Gainesville, FL (2030 Statewide)

Telehealth Adoption Rate

7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickens (29 Years) 29 Yrs

Gainesville Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	190	190	$366.05	$163.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	154	$246.18	$124.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	27	$86.26	$48.77
99213 Established patient office or other outpatient visit, typically 15 minutes	65	59	$167.52	$88.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$436.82	$169.81
38900 Lymph node imaging during surgery	35	35	$513.57	$140.98
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	33	33	$1580.18	$241.85
19301 Partial removal of breast	31	30	$2365.16	$665.04
49505 Repair of groin hernia (5 years or older)	29	29	$1887.52	$538.97
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	26	26	$2751.42	$739.22
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	18	14	$3199.67	$800.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$182.19	$17.72
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1290.25	$329.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$107.75	$54.76
19303 Total removal of breast	12	12	$3565.00	$980.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$357.30	$164.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	141	$225.00	$125.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	42	$86.00	$50.05
99213 Established patient office or other outpatient visit, typically 15 minutes	77	67	$153.00	$88.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$435.00	$173.14
38900 Lymph node imaging during surgery	42	42	$527.00	$142.85
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	41	41	$1582.00	$241.83
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	31	31	$2797.00	$696.01
49505 Repair of groin hernia (5 years or older)	29	28	$1897.00	$535.24
19303 Total removal of breast	25	23	$3675.00	$1073.01
19301 Partial removal of breast	22	21	$2368.00	$686.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$92.00	$55.36
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$142.83	$13.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	196	196	$358.00	$167.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	149	$225.00	$127.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	139	54	$86.00	$39.12
99213 Established patient office or other outpatient visit, typically 15 minutes	63	55	$153.00	$88.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$435.00	$198.59
38900 Lymph node imaging during surgery	33	32	$527.00	$144.77
49505 Repair of groin hernia (5 years or older)	28	26	$1897.00	$558.42
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	27	27	$1582.00	$232.10
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$1335.00	$338.34
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$2797.00	$763.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$80.71	$18.95
19301 Partial removal of breast	19	19	$2368.00	$656.45
19303 Total removal of breast	14	14	$3675.00	$947.30
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	13	$3279.00	$864.74
19120 Removal of 1 or more breast growth, open procedure	11	11	$1480.00	$418.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$358.00	$167.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	136	$225.00	$129.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	129	58	$86.00	$38.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	84	$435.00	$201.13
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$153.00	$90.33
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	38	38	$2797.00	$755.05
49505 Repair of groin hernia (5 years or older)	20	19	$1897.00	$552.08
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1582.00	$260.84
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1335.00	$348.53
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$66.00	$19.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$92.00	$55.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	166	62	$98.92	$40.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$341.14	$165.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	129	$249.18	$108.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	96	$511.53	$206.05
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$182.19	$74.91
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$2513.28	$758.68
49505 Repair of groin hernia (5 years or older)	26	25	$1745.62	$560.41
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$1467.00	$346.45
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	20	20	$65.65	$18.34
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1523.68	$240.37
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$94.33	$19.10
19303 Total removal of breast	12	12	$3437.67	$1012.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	195	195	$316.00	$162.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	167	$272.00	$106.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	66	$119.00	$39.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	111	$600.00	$203.19
99213 Established patient office or other outpatient visit, typically 15 minutes	73	67	$219.00	$73.24
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	39	39	$2313.00	$745.85
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	38	38	$58.00	$18.61
78801 Nuclear medicine study of radioactive material distribution at multiple tumor locations	26	25	$127.73	$40.05
49505 Repair of groin hernia (5 years or older)	26	24	$1569.00	$539.06
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1364.32	$245.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1500.00	$343.44
19303 Total removal of breast	17	17	$2383.41	$1042.11
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$100.00	$17.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$80.00	$44.36
19125 Removal of breast growth, open procedure	12	12	$1560.00	$461.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	198	63	$119.00	$37.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	153	$273.07	$99.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$316.00	$154.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	109	105	$581.38	$191.13
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$219.00	$67.65
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	23	23	$58.00	$17.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$2313.00	$691.22
78801 Nuclear medicine study of radioactive material distribution at multiple tumor locations	22	22	$123.00	$37.61
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1363.86	$220.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$80.00	$40.75
49505 Repair of groin hernia (5 years or older)	16	15	$1569.00	$515.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$1500.00	$333.65
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$100.00	$27.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	233	67	$119.00	$36.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$316.00	$150.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	109	$272.37	$96.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	115	$397.00	$186.89
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	52	52	$58.00	$17.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	51	51	$2313.00	$671.76
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$219.00	$66.49
49505 Repair of groin hernia (5 years or older)	23	22	$1569.00	$501.84
78801 Nuclear medicine study of radioactive material distribution at multiple tumor locations	17	17	$136.35	$37.42
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1305.00	$275.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1500.00	$325.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$100.00	$22.03
19303 Total removal of breast	11	11	$2660.27	$1058.09

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME0079664

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

264138100 (FL)

Hospital & Practice Group Affiliations

North Florida Surgical Associates Llc

6500 W Newberry Rd, Gainesville, FL 326054309

Phone: 3523334000

North Florida Surgical Associates Llc

1121 Nw 64th Ter, Gainesville, FL 326054256

North Florida Surgical Associates Llc

1143 Nw 64th Ter, Gainesville, FL 326054218

Phone: 3523311201

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Jeffrey Rose , MD

Surgery

NPI 1073503330

Doctor of Medicine (M.D.)

Dr. Bradley Schmit , MD

Surgery

NPI 1184935306

Doctor of Medicine (M.D.)

Dr. Jacob Young , MD, MBA

Urology

NPI 1265877484

Doctor of Medicine (M.D.), Master of Business Administration

Dr. Bruce Brient , MD

Surgery

NPI 1326046996

Doctor of Medicine (M.D.)

Dr. N Pickens , MD

Surgery

NPI 1376541854

Doctor of Medicine (M.D.)

Dr. Francisco Macedo , MD

Surgery

NPI 1376821447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2014

Registered at 1143 NW 64TH TER, GAINESVILLE, FL 326054218 (Tel: 3523311201)

📍

Updated Business Mailing Address February 21, 2014

Registered at 1143 NW 64TH TER, GAINESVILLE, FL 326054218 (Tel: 3523311201)

👤

Provider Name / Credentials Updated February 21, 2014

Recorded as BRIAN PICKENS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2014

Surgery (License #ME0079664 in FL)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093712895

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2005

Last Update: January 27, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1143 Nw 64th Ter

Gainesville, FL 326054218

Phone: 3523311201

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.