Active NPI 1366835068 Individual Practitioner Male Practitioner

Jeremiah C. Brack , PA-C

Physician Assistant • Flower Mound, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jeremiah Brack, PA-C is a certified Physician Assistant practicing in Flower Mound, TX. With approximately 12 years of clinical experience since completing medical education in 2014, Jeremiah Brack delivers high-quality medical care to the local community at 4370 MEDICAL ARTS DR STE 230.

Jeremiah Brack is affiliated with Arlington Neurosurgeons, Pllc 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, x-ray of lower and sacral spine, 2-3 views, 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

4370 Medical Arts Dr Ste 230

Flower Mound, TX 750281748

Telephone 9729568181

Fax 9729568181

Associated Practice Facility / Clinic

🏢 Texas Back Institute Physicians P.a. Facility NPI 1841220837

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Flower Mound, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -2.9 yrs vs City Avg

City Avg: 14.9 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

43 Specialists

Practicing in Flower Mound, TX (11140 Statewide)

Telehealth Adoption Rate

34.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

95.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brack (12 Years) 12 Yrs

Flower Mound Specialty Average (14.9 Years) 14.9 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	329	223	$158.53	$72.22
72100 X-ray of lower and sacral spine, 2-3 views	280	197	$120.44	$31.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	116	$229.78	$102.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$339.23	$135.74
72040 X-ray of upper spine, 2-3 views	88	65	$126.91	$31.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	67	42	$848.12	$33.31
22614 Fusion of additional segment of spine	47	22	$1267.28	$50.48
22612 Fusion of spine in lower back	39	38	$5170.00	$195.41
22845 Placement of stabilizing device to front, 2-3 spine bone segments	35	35	$2400.14	$93.95
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	23	23	$4984.30	$99.44
22842 Placement of stabilizing device to back, 3-6 spine bone segments	20	20	$2516.20	$98.74
22830 Exploration of spinal fusion	18	18	$2565.00	$56.85
72080 X-ray of middle and lower spine, 2 views	18	14	$109.33	$27.63
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$2517.18	$97.74
72070 X-ray of middle spine, 2 views	13	11	$110.69	$26.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	219	$139.00	$71.99
72100 X-ray of lower and sacral spine, 2-3 views	262	176	$124.00	$32.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	90	$84.00	$39.29
72040 X-ray of upper spine, 2-3 views	68	48	$119.00	$31.83
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	56	34	$826.00	$32.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$320.00	$135.63
22612 Fusion of spine in lower back	30	29	$4880.00	$194.17
22845 Placement of stabilizing device to front, 2-3 spine bone segments	29	29	$2311.00	$92.66
22614 Fusion of additional segment of spine	20	13	$1228.00	$49.87
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	19	19	$4710.00	$103.68
72070 X-ray of middle spine, 2 views	19	18	$103.00	$25.44
22830 Exploration of spinal fusion	17	17	$2457.00	$53.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$206.00	$104.02
63048 Partial removal of spine bone with release of spinal cord and/or nerves	17	11	$666.00	$26.84
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	15	$2449.00	$97.35
22840 Placement of stabilizing device to back of 1 spine bone in neck	15	15	$2392.00	$96.72
72080 X-ray of middle and lower spine, 2 views	13	12	$112.00	$28.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	331	229	$139.00	$73.89
72100 X-ray of lower and sacral spine, 2-3 views	242	171	$124.00	$33.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	158	116	$84.00	$44.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	64	36	$826.00	$32.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$320.00	$137.32
72040 X-ray of upper spine, 2-3 views	61	48	$119.00	$31.89
22845 Placement of stabilizing device to front, 2-3 spine bone segments	23	22	$2311.00	$91.54
22612 Fusion of spine in lower back	22	22	$4880.00	$198.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$206.00	$101.62
72080 X-ray of middle and lower spine, 2 views	17	14	$112.00	$28.97
72070 X-ray of middle spine, 2 views	16	16	$103.00	$27.25
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$2392.00	$95.91
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	15	15	$4710.00	$111.08
22216 Incision or removal of spine bone segment, each additional segment	14	11	$1138.00	$46.10
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3698.00	$88.25
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2449.00	$96.36
22214 Incision of spine to correct deformity at lower spinal column	11	11	$4484.00	$97.10
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$5564.00	$236.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	267	194	$139.00	$74.82
72100 X-ray of lower and sacral spine, 2-3 views	177	146	$124.00	$32.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	122	$84.00	$46.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	72	48	$826.00	$33.15
72040 X-ray of upper spine, 2-3 views	57	42	$119.00	$31.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$320.00	$136.98
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	23	$666.00	$27.09
22845 Placement of stabilizing device to front, 2-3 spine bone segments	36	36	$2311.00	$93.23
22612 Fusion of spine in lower back	33	33	$4880.00	$199.85
22614 Fusion of additional segment of spine	33	16	$1228.00	$50.18
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	27	27	$4710.00	$117.84
22842 Placement of stabilizing device to back, 3-6 spine bone segments	22	22	$2449.00	$97.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$3698.00	$101.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$206.00	$107.53
22830 Exploration of spinal fusion	19	17	$2457.00	$56.21
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$2392.00	$97.48
72070 X-ray of middle spine, 2 views	15	12	$103.00	$26.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	121	$139.00	$61.29
72100 X-ray of lower and sacral spine, 2-3 views	144	119	$124.00	$30.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	72	$84.00	$36.55
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	52	32	$826.00	$33.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$206.00	$88.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$320.00	$133.75
22614 Fusion of additional segment of spine	41	22	$1228.00	$50.95
63048 Partial removal of spine bone with release of spinal cord and/or nerves	41	18	$666.00	$27.99
72040 X-ray of upper spine, 2-3 views	35	28	$119.00	$31.12
22612 Fusion of spine in lower back	31	30	$4880.00	$202.05
22845 Placement of stabilizing device to front, 2-3 spine bone segments	25	25	$2311.00	$93.46
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$3698.00	$87.54
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$2449.00	$96.10
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4710.00	$138.60
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2392.00	$100.97
22830 Exploration of spinal fusion	11	11	$2457.00	$59.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	213	$142.96	$62.61
20610 Aspiration and/or injection of fluid from large joint	291	130	$249.34	$60.77
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	273	83	$548.00	$141.11
72100 X-ray of lower and sacral spine, 2-3 views	99	78	$93.65	$30.78
J1030 Injection, methylprednisolone acetate, 40 mg	80	47	$12.00	$6.30
73562 X-ray of knee, 3 views	78	56	$83.26	$31.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	66	$213.89	$93.04
73030 X-ray of shoulder, minimum of 2 views	42	27	$84.29	$25.12
73502 X-ray of hip, 2-3 views	41	34	$97.59	$34.33
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	19	$848.00	$142.54
72040 X-ray of upper spine, 2-3 views	18	16	$95.67	$31.17
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	11	$153.00	$29.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$86.00	$38.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$329.00	$140.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$214.00	$92.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	208	$141.81	$61.96
20610 Aspiration and/or injection of fluid from large joint	241	109	$256.59	$63.24
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	212	63	$544.68	$144.92
72100 X-ray of lower and sacral spine, 2-3 views	112	97	$92.25	$29.08
J1030 Injection, methylprednisolone acetate, 40 mg	101	49	$12.00	$6.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	72	$212.32	$90.90
73562 X-ray of knee, 3 views	55	36	$83.40	$30.29
73502 X-ray of hip, 2-3 views	46	33	$90.28	$30.91
73110 X-ray of wrist, minimum of 3 views	28	16	$82.46	$30.05
73030 X-ray of shoulder, minimum of 2 views	25	20	$86.52	$25.14
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	11	$152.35	$29.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$85.32	$36.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$327.50	$135.28
72040 X-ray of upper spine, 2-3 views	22	17	$89.64	$28.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$212.67	$91.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$832.00	$125.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	358	214	$138.00	$61.08
20610 Aspiration and/or injection of fluid from large joint	280	122	$243.80	$60.58
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	251	79	$529.00	$150.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	144	$207.00	$88.80
72100 X-ray of lower and sacral spine, 2-3 views	148	121	$90.32	$28.62
J1030 Injection, methylprednisolone acetate, 40 mg	101	48	$12.00	$5.74
73562 X-ray of knee, 3 views	78	57	$78.13	$28.87
73502 X-ray of hip, 2-3 views	42	31	$71.86	$25.27
73110 X-ray of wrist, minimum of 3 views	35	18	$73.49	$27.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$318.00	$127.14
73030 X-ray of shoulder, minimum of 2 views	28	23	$80.07	$23.50
63048 Partial removal of spine bone with release of spinal cord and/or nerves	23	13	$148.00	$28.26
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	21	$810.00	$134.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$207.00	$91.02
72040 X-ray of upper spine, 2-3 views	21	20	$88.00	$28.00
20552 Injections of trigger points in 1 or 2 muscles	17	15	$170.00	$44.09
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	11	$200.00	$34.79

Medical Specialties & State Licenses

CMS Verified: 2021-12-07

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA12666

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Texas Medical Board

PA12666 (TX)

Hospital & Practice Group Affiliations

Arlington Neurosurgeons, Pllc

3535 S I 35, Denton, TX 762106850

Phone: 9403843535

Arlington Neurosurgeons, Pllc

4510 Medical Ctr Dr, Mckinney, TX 750691603

Phone: 9724984389

Arlington Neurosurgeons, Pllc

3901 W 15th St, Plano, TX 750757738

Phone: 9725966800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Stephen Tolhurst , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1023234655

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 07, 2021

Registered at 4370 MEDICAL ARTS DR STE 230, FLOWER MOUND, TX 750281748 (Tel: 9729568181)

📍

Updated Business Mailing Address December 07, 2021

Registered at 6020 W PARKER RD STE 200, PLANO, TX 750938172 (Tel: 9726085000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2021

Physician Assistant (License #PA12666 in TX)

✅

NPI Profile Active March 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2015

Registered at 3801 5TH ST SE, SUITE 110, PUYALLUP, WA 983742106 (Tel: 2538459585)

📍

Updated Business Mailing Address March 05, 2015

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated March 05, 2015

Recorded as JEREMIAH BRACK, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2015

Physician Assistant (License #PA60544689 in WA)

🟢

Initial NPI Registration & Enumeration March 05, 2015

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: 1366835068

Entity Type:

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

Enumeration Date: March 05, 2015

Last Update: December 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6020 W Parker Rd Ste 200

Plano, TX 750938172

Phone: 9726085000

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.