Active NPI 1881703809 Individual Practitioner Male Practitioner

Dr. Brian L Piazza , MD

Surgery • Plymouth, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Piazza, MD is a certified Surgery practicing in Plymouth, IN. With approximately 36 years of clinical experience since graduating from Indiana University School Of Medicine in 1990, Dr. Piazza delivers high-quality medical care to the local community at 1919 LAKE AVE STE 104.

Dr. Piazza is affiliated with Saint Joseph Regional Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1919 Lake Ave Ste 104

Plymouth, IN 465637830

Telephone 5749485170

Fax 5749485498

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Plymouth, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

6 Specialists

Practicing in Plymouth, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Piazza (36 Years) 36 Yrs

Plymouth Specialty Average (24.3 Years) 24.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	77	20	$194.00	$60.93
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$194.00	$84.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$274.00	$118.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$238.00	$102.92
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	18	$490.11	$134.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$389.00	$96.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$540.76	$205.84
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	14	$448.00	$160.43
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$155.00	$66.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$440.00	$160.03
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$448.00	$159.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$192.53	$82.62
99213 Established patient office or other outpatient visit, typically 15 minutes	48	13	$189.50	$61.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$238.00	$102.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$684.21	$89.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$270.56	$119.03
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$586.38	$162.85
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	23	$798.65	$148.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	20	$730.52	$226.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$356.00	$154.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$440.00	$162.64
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$541.09	$167.53
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$155.00	$67.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	19	$144.86	$63.07
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$152.46	$82.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	14	$158.00	$66.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$792.00	$114.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$208.50	$104.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	11	$90.90	$33.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$215.26	$120.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	12	$227.00	$96.30
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$1008.00	$138.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$298.00	$126.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$440.00	$185.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$705.00	$164.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$950.00	$227.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$304.45	$156.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$122.00	$85.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	20	$158.00	$68.02
99213 Established patient office or other outpatient visit, typically 15 minutes	29	12	$122.00	$64.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$298.00	$128.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$179.00	$105.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	16	$792.00	$91.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$73.00	$52.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$181.00	$122.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1008.00	$133.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$950.00	$240.28
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$704.00	$154.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	41	$122.00	$70.78
99213 Established patient office or other outpatient visit, typically 15 minutes	27	16	$122.00	$49.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$73.00	$42.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$746.25	$85.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$158.89	$69.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$179.00	$97.71
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$955.00	$163.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$297.15	$132.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$181.00	$102.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$122.00	$69.24
99213 Established patient office or other outpatient visit, typically 15 minutes	37	24	$122.00	$48.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$159.00	$68.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$181.00	$102.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$179.00	$100.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$275.00	$153.85
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$955.00	$152.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$73.00	$42.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$907.00	$244.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$731.00	$107.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$181.00	$74.74
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$218.00	$95.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$297.00	$129.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$475.00	$176.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$440.00	$174.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	32	$115.80	$48.65
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$117.29	$68.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	27	$121.98	$67.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$168.00	$99.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$167.13	$101.40
11042 Removal of skin and tissue, 20.0 sq cm or less	29	15	$195.97	$57.54
97597 Removal of tissue from wound, 20.0 sq cm or less	27	12	$159.44	$23.22
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	27	27	$916.30	$191.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$670.25	$99.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	13	$170.33	$74.67
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$197.79	$95.31
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$435.00	$171.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$73.00	$41.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$230.31	$129.45
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$475.00	$170.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$964.23	$231.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	34	$115.00	$48.51
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$115.00	$67.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	36	$165.00	$100.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$165.00	$101.13
93923 Complete ultrasound study of arm and leg arteries	30	29	$198.00	$20.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	28	$650.00	$92.35
97597 Removal of tissue from wound, 20.0 sq cm or less	23	12	$155.00	$21.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$250.00	$154.34
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$475.00	$173.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$110.00	$68.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$165.00	$74.87
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$750.00	$165.19
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$900.00	$175.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$295.00	$192.75

Medical Specialties & State Licenses

CMS Verified: 2023-11-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01066413A

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI BP056021

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200980180 (IN)

Medicaid State Provider ID

3510115 (MI)

Hospital & Practice Group Affiliations

Saint Joseph Regional Medical Center Inc

1919 Lake Ave, Plymouth, IN 465637830

Phone: 5749485170

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Blake Hood , DO

Surgery

NPI 1053730176

Doctor of Osteopathic Medicine (D.O.)

Dr. Nancy Han , MD

Surgery

NPI 1215962253

Doctor of Medicine (M.D.)

Dr. Donald Faulkner , MD

Surgery

NPI 1609893312

Doctor of Medicine (M.D.)

Dr. James Dammon , MD

Surgery

NPI 1942664008

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 16, 2023

Registered at 1919 LAKE AVE STE 104, PLYMOUTH, IN 465637830 (Tel: 5749485170)

📍

Updated Business Mailing Address November 16, 2023

Registered at 707 CEDAR ST STE 405, SOUTH BEND, IN 466172059

✅

NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2016

Registered at 1919 LAKE AVE, SUITE 102, PLYMOUTH, IN 465637830 (Tel: 5749412967)

📍

Updated Business Mailing Address September 14, 2016

Registered at 707 E CEDAR ST, STE 200, SOUTH BEND, IN 466172057 (Tel: 5743358700)

👤

Provider Name / Credentials Updated September 14, 2016

Recorded as BRIAN PIAZZA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Surgery (License #01066413A in IN)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881703809

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: November 16, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

707 Cedar St Ste 405

South Bend, IN 466172059

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.