Active NPI 1790700227 Individual Practitioner Male Practitioner

Dr. Michael T. Brown , MD

Surgery • West Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Brown, MD is a certified Surgery practicing in West Reading, PA. With approximately 40 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1986, Dr. Brown delivers high-quality medical care to the local community at 301 S 7TH AVE.

Dr. Brown is affiliated with Tower Health Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, biopsy of breast accessed through the skin with stereotactic guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 S 7th Ave
Suite 305

West Reading, PA 196111410

Telephone 6103747720

Fax 6103748852

Associated Practice Facility / Clinic

🏢 Berks Colorectal Surgical Associates Facility NPI 1336132323

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Reading, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +23.2 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

30 Specialists

Practicing in West Reading, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brown (40 Years) 40 Yrs

West Reading Specialty Average (16.8 Years) 16.8 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	147	117	$170.00	$86.56
19301 Partial removal of breast	38	30	$2207.61	$574.03
19081 Biopsy of breast accessed through the skin with stereotactic guidance	34	34	$1333.00	$154.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$365.00	$159.50
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	30	29	$2126.00	$459.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$302.00	$172.01
76098 X-ray of surgical specimen	28	26	$120.00	$14.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$232.00	$121.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$221.00	$75.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$239.00	$106.14
38900 Lymph node imaging during surgery	14	14	$493.00	$130.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1697.00	$217.52
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$312.00	$78.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	134	$170.00	$87.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	28	$221.00	$77.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$365.00	$159.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	20	$120.00	$48.77
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	38	38	$2126.00	$487.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$232.00	$124.35
19301 Partial removal of breast	31	30	$2151.00	$647.92
19081 Biopsy of breast accessed through the skin with stereotactic guidance	27	27	$1333.00	$159.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$302.00	$174.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$459.00	$214.30
76098 X-ray of surgical specimen	20	19	$120.00	$14.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	16	$420.00	$127.72
38900 Lymph node imaging during surgery	17	17	$551.00	$141.69
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$1697.00	$241.50
19125 Removal of breast growth, open procedure	13	13	$1893.00	$435.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$239.00	$109.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	123	$170.00	$88.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$239.00	$109.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	26	$120.00	$38.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	30	$221.00	$68.38
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	38	38	$2126.00	$502.26
19081 Biopsy of breast accessed through the skin with stereotactic guidance	32	32	$1333.00	$162.65
19301 Partial removal of breast	28	26	$2227.82	$625.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$302.00	$177.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$232.00	$121.13
76642 Limited ultrasound scan of 1 breast	21	19	$295.00	$81.77
38900 Lymph node imaging during surgery	18	18	$547.78	$144.93
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1885.56	$244.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$365.00	$164.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$420.00	$132.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	129	$170.00	$90.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	24	$120.00	$37.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	21	$221.00	$71.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$239.00	$111.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	33	$302.00	$179.54
19081 Biopsy of breast accessed through the skin with stereotactic guidance	33	33	$1333.00	$163.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$232.00	$128.38
19301 Partial removal of breast	25	23	$2237.04	$650.13
76642 Limited ultrasound scan of 1 breast	22	22	$295.00	$86.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	19	$420.00	$134.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$365.00	$166.50
38900 Lymph node imaging during surgery	21	21	$516.48	$141.85
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	20	20	$2126.00	$565.86
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1791.28	$251.47
19100 Needle biopsy of breast	14	13	$529.00	$151.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$459.00	$219.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$116.00	$55.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	113	109	$170.00	$73.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$239.00	$104.93
99441 Telephone medical discussion with physician, 5-10 minutes	44	44	$40.00	$40.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	23	$120.00	$39.75
19301 Partial removal of breast	36	32	$2210.75	$660.05
19081 Biopsy of breast accessed through the skin with stereotactic guidance	36	34	$1333.00	$169.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$221.00	$72.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$302.00	$144.78
76642 Limited ultrasound scan of 1 breast	27	25	$316.85	$73.77
76098 X-ray of surgical specimen	26	25	$49.00	$15.97
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$1979.83	$280.49
19283 Placement of breast localization devices accessed through the skin with stereotactic guidance	24	24	$994.00	$52.25
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	24	24	$2126.00	$592.71
38900 Lymph node imaging during surgery	23	23	$535.87	$149.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$232.00	$107.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$420.00	$138.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$365.00	$163.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$116.00	$44.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$459.00	$207.03
76642 Limited ultrasound scan of 1 breast	11	11	$321.82	$35.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	189	$130.23	$72.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$209.68	$106.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	39	$159.78	$72.61
19081 Biopsy of breast accessed through the skin with stereotactic guidance	57	56	$2086.37	$169.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$302.36	$162.34
76642 Limited ultrasound scan of 1 breast	46	45	$178.48	$84.77
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	44	44	$1225.23	$623.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$268.61	$140.62
76098 X-ray of surgical specimen	38	38	$53.74	$7.96
19301 Partial removal of breast	36	32	$1905.67	$640.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	28	$1302.03	$261.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$383.48	$201.91
19283 Placement of breast localization devices accessed through the skin with stereotactic guidance	28	28	$961.96	$52.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$95.59	$44.03
38900 Lymph node imaging during surgery	23	23	$433.52	$142.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$201.67	$106.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$375.00	$204.33
19100 Needle biopsy of breast	13	12	$428.31	$143.78
19125 Removal of breast growth, open procedure	13	13	$1671.46	$448.77
19120 Removal of 1 or more breast growth, open procedure	13	13	$2443.00	$420.04
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$3032.18	$307.15
76642 Limited ultrasound scan of 1 breast	11	11	$189.55	$34.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	240	209	$125.00	$70.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	33	$142.00	$71.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$205.00	$103.67
19081 Biopsy of breast accessed through the skin with stereotactic guidance	47	46	$2175.00	$169.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$300.00	$157.48
76098 X-ray of surgical specimen	36	34	$55.00	$8.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$375.00	$200.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$87.00	$42.36
76642 Limited ultrasound scan of 1 breast	25	23	$150.00	$84.94
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	24	23	$966.00	$641.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$265.00	$141.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	11	$75.00	$38.73
19301 Partial removal of breast	22	21	$1960.23	$668.28
19283 Placement of breast localization devices accessed through the skin with stereotactic guidance	20	20	$955.00	$51.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$197.00	$104.96
38900 Lymph node imaging during surgery	16	16	$473.63	$148.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1348.88	$260.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$375.00	$202.38
76642 Limited ultrasound scan of 1 breast	12	12	$150.00	$33.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	214	$125.00	$70.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$205.00	$101.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	42	$142.00	$70.76
19081 Biopsy of breast accessed through the skin with stereotactic guidance	57	53	$2175.00	$169.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$300.00	$155.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	41	$87.00	$41.82
76098 X-ray of surgical specimen	39	38	$55.00	$7.85
19301 Partial removal of breast	37	33	$1875.00	$644.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$265.00	$137.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$375.00	$198.72
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$1237.68	$222.88
76642 Limited ultrasound scan of 1 breast	31	26	$150.00	$76.92
19283 Placement of breast localization devices accessed through the skin with stereotactic guidance	30	30	$955.00	$50.26
38900 Lymph node imaging during surgery	27	27	$436.59	$138.69
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	25	$966.00	$587.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$197.00	$103.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$75.00	$38.53
19082 Biopsy of breast accessed through the skin with stereotactic guidance, additional lesion	18	16	$610.00	$85.47
19100 Needle biopsy of breast	14	14	$410.00	$145.32
76642 Limited ultrasound scan of 1 breast	12	12	$150.00	$33.68
19120 Removal of 1 or more breast growth, open procedure	12	12	$1475.00	$409.22
19125 Removal of breast growth, open procedure	11	11	$1605.00	$434.10
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$137.00	$69.07
19303 Total removal of breast	11	11	$3131.82	$979.61

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD042962L

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 - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License PA MD042962L

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001288730001 (PA)

Commercial Insurance / Payer ID Keystone Sr. Blue

01143501 (PA)

Commercial Insurance / Payer ID Keystone Health Plan East

0511233000 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

01143501 (PA)

Commercial Insurance / Payer ID Aetna

5870040 (PA)

Commercial Insurance / Payer ID Keystone Health Plan Cent

01143501 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

BR677678 (PA)

Hospital & Practice Group Affiliations

Tower Health Medical Group

420 S 5th Ave, West Reading, PA 196112143

Tower Health Medical Group

301 S 7th Ave, West Reading, PA 196111442

Phone: 4846288112

Tower Health Medical Group

2610 Keiser Blvd, Wyomissing, PA 196103333

Phone: 4847503950

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Sheldon Schlaff , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1073779393

Doctor of Medicine (M.D.)

Allison Stapler , PA-C

Physician Assistant - Medical

NPI 1265406821

Physician Assistant (Certified)

Elizabeth Robinson , PA-C

Physician Assistant - Medical

NPI 1437123833

Physician Assistant (Certified)

Dr. Peter Bamberger , MD

Surgery

NPI 1588610877

Doctor of Medicine (M.D.)

Dr. Anne Mclendon , MD

Surgery

NPI 1689800641

Doctor of Medicine (M.D.)

Dr. George Sexton , MD

Obstetrics & Gynecology - Gynecology

NPI 1699748210

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 March 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2015

Registered at 301 S 7TH AVE, SUITE 305, WEST READING, PA 196111410 (Tel: 6103747720)

📍

Updated Business Mailing Address March 06, 2015

Registered at 301 S 7TH AVE, SUITE 305, WEST READING, PA 196111410 (Tel: 6103747720)

👤

Provider Name / Credentials Updated March 06, 2015

Recorded as MICHAEL BROWN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2015

Surgery (License #MD042962L in PA)

🟢

Initial NPI Registration & Enumeration July 13, 2006

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: 1790700227

Entity Type:

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

Enumeration Date: July 13, 2006

Last Update: March 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 S 7th Ave, Suite 305

West Reading, PA 196111410

Phone: 6103747720

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.