Active NPI 1245492842 Individual Practitioner Male Practitioner

Dr. Brian David Henry , MD

Surgery • Plattsburgh, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Henry, MD is a certified Surgery practicing in Plattsburgh, NY. With approximately 18 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2008, Dr. Henry delivers high-quality medical care to the local community at 214 CORNELIA ST.

Dr. Henry is affiliated with Champlain Valley Physicians Hospital Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

214 Cornelia St
Suite 102

Plattsburgh, NY 129012317

Telephone 5185616410

Fax 5185627542

Associated Practice Facility / Clinic

🏢 Champlain Valley Physicians Hospital Medical Center Facility NPI 1073534046

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Plattsburgh, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Plattsburgh, NY (2269 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henry (18 Years) 18 Yrs

Plattsburgh Specialty Average (25.0 Years) 25.0 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	81	81	$248.59	$129.94
99213 Established patient office or other outpatient visit, typically 15 minutes	78	56	$99.62	$64.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	24	$169.89	$76.96
49650 Repair of groin hernia using an endoscope	32	32	$1226.44	$473.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$152.50	$94.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$148.70	$79.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$313.48	$127.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$49.68	$34.47
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1659.71	$692.15

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	98	98	$237.31	$129.88
99213 Established patient office or other outpatient visit, typically 15 minutes	57	45	$93.70	$64.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	31	$159.73	$77.34
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	33	33	$1602.33	$694.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$141.41	$80.53
49650 Repair of groin hernia using an endoscope	32	32	$984.56	$471.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$144.48	$95.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$46.65	$34.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$299.95	$127.04

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	67	67	$268.91	$133.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	35	$142.93	$69.72
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$114.89	$66.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$160.50	$96.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	16	$218.72	$101.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$268.33	$132.04
49650 Repair of groin hernia using an endoscope	18	18	$909.33	$453.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$53.76	$35.74
47562 Removal of gallbladder using an endoscope	16	16	$1271.81	$626.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$153.93	$82.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1364.00	$708.21
99238 Hospital discharge day management, 30 minutes or less	15	15	$141.40	$70.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	53	$218.00	$101.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$351.00	$134.69
99213 Established patient office or other outpatient visit, typically 15 minutes	47	37	$155.00	$66.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$229.00	$98.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$230.00	$82.71
47562 Removal of gallbladder using an endoscope	23	23	$1375.00	$655.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$287.00	$133.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$94.00	$35.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$424.00	$197.01
49650 Repair of groin hernia using an endoscope	17	17	$1156.94	$466.88
99238 Hospital discharge day management, 30 minutes or less	12	12	$153.00	$70.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	48	$218.00	$104.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$351.00	$129.01
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$155.00	$51.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$229.00	$78.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$94.00	$25.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$287.00	$136.46
47562 Removal of gallbladder using an endoscope	19	19	$1375.00	$658.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$230.00	$75.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$424.00	$201.43
99238 Hospital discharge day management, 30 minutes or less	14	14	$153.00	$72.73
49650 Repair of groin hernia using an endoscope	13	13	$1031.54	$385.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$308.00	$111.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	42	$199.09	$101.33
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$139.24	$49.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	27	$83.54	$24.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$204.59	$73.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$317.94	$125.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$207.33	$76.87
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$141.69	$49.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$389.62	$196.93
49650 Repair of groin hernia using an endoscope	19	19	$941.05	$457.78
47562 Removal of gallbladder using an endoscope	18	18	$1375.00	$635.25
99238 Hospital discharge day management, 30 minutes or less	15	15	$138.00	$71.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$198.19	$73.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	20	$121.06	$70.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	18	$188.88	$101.06
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$131.00	$49.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$296.63	$124.87
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$142.18	$48.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	18	$81.85	$24.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$190.42	$76.11
47562 Removal of gallbladder using an endoscope	24	24	$1232.50	$628.60
49650 Repair of groin hernia using an endoscope	18	18	$798.67	$437.69
99238 Hospital discharge day management, 30 minutes or less	17	16	$125.29	$70.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$241.88	$132.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$352.67	$196.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	43	$76.80	$38.00
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$144.00	$48.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	32	$94.00	$24.61
99201 New patient office or other outpatient visit, typically 10 minutes	28	28	$94.00	$25.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$360.50	$196.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$317.00	$125.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$237.63	$132.35
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$139.50	$49.37
49650 Repair of groin hernia using an endoscope	14	14	$953.50	$416.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$207.00	$76.12
47562 Removal of gallbladder using an endoscope	13	13	$1889.31	$632.86
99238 Hospital discharge day management, 30 minutes or less	12	12	$130.50	$70.22

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 280443

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

04207714 (NY)

Hospital & Practice Group Affiliations

Champlain Valley Physicians Hospital Medical Center

214 Cornelia St, Plattsburgh, NY 129012332

Phone: 5185616410

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Elena Boland , MD

Colon & Rectal Surgery

NPI 1063536886

Doctor of Medicine (M.D.)

Dr. Paul El Azoury , MD

Internal Medicine - Nephrology

NPI 1225219884

Doctor of Medicine (M.D.)

Dr. Zachary Kanouse , MD

Surgery

NPI 1235426024

Doctor of Medicine (M.D.)

Aubrey Ford , NP

Nurse Practitioner - Family

NPI 1295682987

Nurse Practitioner

Dr. John Mcauliffe , MD

Surgery

NPI 1386718021

Doctor of Medicine (M.D.)

Dr. Hanna Slim , MD

Internal Medicine - Cardiovascular Disease

NPI 1417130410

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 July 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2016

Registered at 214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 129012317 (Tel: 5185616410)

📍

Updated Business Mailing Address July 28, 2016

Registered at 214 CORNELIA ST, SUITE 102, PLATTSBURGH, NY 129012317 (Tel: 5185616410)

👤

Provider Name / Credentials Updated July 28, 2016

Recorded as BRIAN HENRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2016

Surgery (License #280443 in NY)

🟢

Initial NPI Registration & Enumeration June 26, 2008

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: 1245492842

Entity Type:

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

Enumeration Date: June 26, 2008

Last Update: July 28, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

214 Cornelia St, Suite 102

Plattsburgh, NY 129012317

Phone: 5185616410

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.