Active NPI 1174178859 Individual Practitioner Female Practitioner

Abigail Marie Brunner , NP

Nurse Practitioner • Camillus, NY

Professional Overview & Biography Verified Profile Summary

Abigail Brunner, NP is a registered healthcare professional specializing in Nurse Practitioner in Camillus, NY. Practice services are available at 208 TOWNSHIP BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

208 Township Blvd
Suite 100

Camillus, NY 13031

Telephone 3155516000

Fax 3154345300

Associated Practice Facility / Clinic

🏢 Upstate Orthopedics, Llp Facility NPI 1871290445

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Camillus, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.5 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Camillus, NY (3155 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% 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 (2022)

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	30	23	$275.00	$107.63
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$210.00	$71.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$262.00	$110.68

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	162	95	$272.69	$106.88
99213 Established patient office or other outpatient visit, typically 15 minutes	35	24	$184.86	$73.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$262.00	$110.26
G0008 Administration of influenza virus vaccine	11	11	$40.00	$16.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	56	$145.90	$60.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	25	$200.00	$88.34
36415 Insertion of needle into vein for collection of blood sample	21	14	$10.00	$2.97
G0008 Administration of influenza virus vaccine	19	17	$40.00	$16.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$262.00	$96.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$89.46
G0009 Administration of pneumococcal vaccine	13	13	$40.00	$16.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$356.00	$135.80

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 344425

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NY 344425

Definition to come...

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Michael Lioudis , MD

Internal Medicine - Nephrology

NPI 1073729463

Doctor of Medicine (M.D.)

Dr. Wisam Al-Mutawalli , MD

Family Medicine

NPI 1164005526

Doctor of Medicine (M.D.)

Dr. Patrick Riccardi , MD

Internal Medicine - Rheumatology

NPI 1255303533

Doctor of Medicine (M.D.)

Mckenna Burgwin , FNP-C

Nurse Practitioner - Family

NPI 1396316543

Family Nurse Practitioner (Certified)

Dr. Elizabeth Cerroni , DNP

Nurse Practitioner - Family

NPI 1467245431

Doctor of Nursing Practice

Makayla Flath , FNP-C

Nurse Practitioner - Family

NPI 1760159867

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location January 29, 2020

Registered at 208 TOWNSHIP BLVD, SUITE 100, CAMILLUS, NY 13031 (Tel: 3155516000)

📍

Updated Business Mailing Address January 29, 2020

Registered at 208 TOWNSHIP BLVD, SUITE 100, CAMILLUS, NY 13031 (Tel: 3155516000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2020

Nurse Practitioner (License #344425 in NY)

📍

Updated Business Mailing Address October 17, 2019

Registered at 208 TOWNSHIP BLVD, CAMILLUS, NY 13031 (Tel: 3154642000)

📍

Updated Practice Location October 09, 2019

Registered at 208 TOWNSHIP BLVD, CAMILLUS, NY 13031 (Tel: 3154646853)

📍

Updated Business Mailing Address October 09, 2019

Registered at 251 SALINA MEADOWS PKWY, SUITE, SYRACUSE, NY 132124516 (Tel: 3154642000)

✅

NPI Profile Active August 08, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2019

Registered at 475 IRVING AVE, SYRACUSE, NY 132101756 (Tel: 3154644686)

📍

Updated Business Mailing Address August 08, 2019

Registered at 313 LAFORTE AVE APT 2, SYRACUSE, NY 132071236 (Tel: 3175641308)

👤

Provider Name / Credentials Updated August 08, 2019

Recorded as ABIGAIL BRUNNER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2019

Nurse Practitioner (License #344425 in NY)

🟢

Initial NPI Registration & Enumeration August 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174178859

Entity Type:

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

Enumeration Date: August 08, 2019

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

208 Township Blvd, Suite 100

Camillus, NY 13031

Phone: 3155516000

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.