Active NPI 1073867172 Individual Practitioner Male Practitioner

Brian Upper , PA

Physician Assistant • Lansing, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Brian Upper, PA is a certified Physician Assistant practicing in Lansing, MI. With approximately 14 years of clinical experience since completing medical education in 2012, Brian Upper delivers high-quality medical care to the local community at 1140 E MICHIGAN AVE STE 400.

Brian Upper maintains professional affiliations with Edward W Sparrow Hospital Association, Sparrow Carson Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1140 E Michigan Ave Ste 400

Lansing, MI 489121806

Telephone 5173649650

Fax 5173649605

Associated Practice Facility / Clinic

🏢 Edward W Sparrow Hospital Association Facility NPI 1245737402

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lansing, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +3.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

156 Specialists

Practicing in Lansing, MI (7057 Statewide)

Telehealth Adoption Rate

14.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Upper (14 Years) 14 Yrs

Lansing Specialty Average (10.6 Years) 10.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	175	$106.00	$78.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$200.96	$92.63

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	341	237	$103.00	$80.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$196.69	$95.00
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$102.31	$54.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$141.00	$109.90

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	469	274	$109.40	$81.70
99442 Telephone medical discussion with physician, 11-20 minutes	39	29	$74.00	$55.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$188.41	$85.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$91.00	$70.30
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$73.00	$56.20

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	373	264	$123.98	$83.79
99213 Established patient office or other outpatient visit, typically 15 minutes	190	155	$99.23	$56.57
99442 Telephone medical discussion with physician, 11-20 minutes	53	43	$88.77	$57.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$127.00	$70.67

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	436	205	$146.00	$67.45
99442 Telephone medical discussion with physician, 11-20 minutes	196	136	$72.84	$43.62
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$100.97	$43.70

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	735	291	$142.25	$65.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	19	$40.02	$7.52
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	19	$31.49	$7.17

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	703	309	$141.69	$65.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	29	$31.49	$7.10

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	589	352	$141.69	$64.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	421	269	$141.69	$65.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	26	26	$31.49	$7.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	24	$31.49	$7.07

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006451

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.

Hospital & Practice Group Affiliations

Sparrow Carson Hospital

245 S 2nd St, Carson City, MI 488119650

Edward W Sparrow Hospital Association

406 E Elm St, Carson City, MI 488119693

Edward W Sparrow Hospital Association

1215 E Michigan Ave, Lansing, MI 489121811

Sparrow Carson Hospital

401 E Elm St, Carson City, MI 488119693

Phone: 9895846217

Sparrow Carson Hospital

401 E Elm St, Carson City, MI 488119693

Phone: 9895846217

Edward W Sparrow Hospital Association

1140 E Michigan Ave, Lansing, MI 489121806

Edward W Sparrow Hospital Association

245 S 2nd St, Carson City, MI 488119650

Phone: 9895846217

Sparrow Carson Hospital

406 E Elm St, Carson City, MI 488119693

Practice Associates & Co-Workers

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

36 Associated Practitioners

Jessica Delcorvo , NP-C

Nurse Practitioner - Primary Care

NPI 1003223355

Nurse Practitioner (Certified)

Dr. Ali Sheikh , DO

Internal Medicine - Cardiovascular Disease

NPI 1013148048

Doctor of Osteopathic Medicine (D.O.)

Gregory Hayter , NP

Nurse Practitioner - Adult Health

NPI 1013222736

Nurse Practitioner

Dr. Fadi Alreefi , MD

Internal Medicine - Cardiovascular Disease

NPI 1023306644

Doctor of Medicine (M.D.)

Dr. Ranjan Thakur , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1093713885

Doctor of Medicine (M.D.)

Dr. Adnan Kassier , MD

Internal Medicine - Interventional Cardiology

NPI 1144575283

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 02, 2019

Registered at 1140 E MICHIGAN AVE STE 400, LANSING, MI 489121806 (Tel: 5173649650)

✅

NPI Profile Active September 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2014

Registered at 401 W GREENLAWN AVE, LANSING, MI 489102819 (Tel: 5179758010)

📍

Updated Business Mailing Address September 12, 2014

Registered at 405 W GREENLAWN AVE, LANSING, MI 489102898

👤

Provider Name / Credentials Updated September 12, 2014

Recorded as BRIAN UPPER, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2014

Physician Assistant (License #5601006451 in MI)

🟢

Initial NPI Registration & Enumeration October 29, 2012

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: 1073867172

Entity Type:

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

Enumeration Date: October 29, 2012

Last Update: October 02, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

405 W Greenlawn Ave

Lansing, MI 489102898

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.