Brian Grant Ingram , PA
Physician Assistant • Jackson, MI
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, Brian Ingram has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Brian Ingram, PA was a registered Physician Assistant practicing in Jackson, MI. Throughout an active medical career spanning 16 years, Brian Ingram provided care at the practice location at 205 N EAST AVE until profile deactivation on 2022-03-03.
Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
205 N East Ave
Jackson, MI 492011753
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Jackson, MI
Practicing in Jackson, MI (7057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
67 | 61 | $150.00 | $88.72 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
59 | 59 | $225.00 | $136.18 |
|
81003
Automated urinalysis test
|
16 | 16 | $25.00 | $2.71 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 03, 2022
NPI status registered as active in NPPES database
Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884996)
Registered at DEPARTMENT 272801, PO BOX 67000, DETROIT, MI 482672728 (Tel: 5178416913)
Recorded as BRIAN INGRAM, PA
Physician Assistant (License #5601002700 in MI)
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
Mailing Address
Department 272801, Po Box 67000
Detroit, MI 482672728
Phone: 5178416913
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