Active NPI 1639305428 Individual Practitioner Male Practitioner

Brian Benjamin Nailling , PA-C

Physician Assistant • Georgetown, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Nailling, PA-C is a certified Physician Assistant practicing in Georgetown, TX. With approximately 17 years of clinical experience since completing medical education in 2009, Brian Nailling delivers high-quality medical care to the local community at 4513 WILLIAMS DR.

Brian Nailling is affiliated with Mountain West Derm - Blackhart Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4513 Williams Dr

Georgetown, TX 786331302

Telephone 5129303909

Fax 5128695868

Associated Practice Facility / Clinic

🏢 Vitalogy P.a. Facility NPI 1023215662

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Georgetown, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +4.7 yrs vs City Avg

City Avg: 12.3 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

46 Specialists

Practicing in Georgetown, TX (11140 Statewide)

Telehealth Adoption Rate

15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nailling (17 Years) 17 Yrs

Georgetown Specialty Average (12.3 Years) 12.3 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
17003 Destruction of precancer skin growth, 2-14 growths	1,084	215	$13.88	$5.26
99213 Established patient office or other outpatient visit, typically 15 minutes	607	409	$186.68	$73.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	308	$264.90	$103.43
17000 Destruction of skin growth	369	279	$138.30	$40.43
17110 Destruction of up to 14 skin growths	334	237	$241.04	$89.85
11102 Tangential biopsy of single skin lesion	222	180	$220.88	$70.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$228.90	$90.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$340.86	$135.15
11103 Biopsy of related skin growth, each additional growth	59	46	$111.54	$40.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	17	$5.87	$1.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$115.76	$45.72
17004 Destruction of precancer skin growth, 15 or more growths	30	27	$348.08	$128.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	17	$374.36	$136.14
11900 Injection into skin growth, 1-7 growths	16	14	$117.98	$43.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$649.76	$243.45
69100 Biopsy of ear	15	15	$211.38	$63.87
10040 Acne surgery	12	12	$245.74	$89.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	474	102	$13.68	$5.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	211	$260.21	$103.79
99213 Established patient office or other outpatient visit, typically 15 minutes	189	175	$183.92	$73.53
17000 Destruction of skin growth	153	138	$138.29	$42.71
17110 Destruction of up to 14 skin growths	147	127	$240.76	$91.88
11102 Tangential biopsy of single skin lesion	121	110	$220.03	$71.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$224.87	$91.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$338.90	$135.79
11103 Biopsy of related skin growth, each additional growth	28	21	$111.54	$41.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	12	$5.87	$0.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$113.03	$40.28
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$348.08	$137.53
11900 Injection into skin growth, 1-7 growths	18	11	$117.93	$40.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$649.76	$247.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	182	40	$20.00	$1.74
17003 Destruction of precancer skin growth, 2-14 growths	155	32	$20.00	$1.71
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$142.00	$54.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	68	$209.00	$80.33
99213 Established patient office or other outpatient visit, typically 15 minutes	66	66	$142.00	$55.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	58	$209.00	$81.45
17000 Destruction of skin growth	52	51	$237.00	$41.68
17000 Destruction of skin growth	45	43	$237.00	$41.61
11102 Tangential biopsy of single skin lesion	42	41	$303.00	$23.96
11102 Tangential biopsy of single skin lesion	39	39	$303.00	$24.25
17110 Destruction of up to 14 skin growths	35	29	$324.00	$54.00
17110 Destruction of up to 14 skin growths	21	20	$324.00	$54.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$85.00	$29.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	509	87	$20.00	$1.73
99213 Established patient office or other outpatient visit, typically 15 minutes	207	175	$142.00	$55.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	130	$209.00	$82.30
17000 Destruction of skin growth	127	107	$237.00	$39.96
11102 Tangential biopsy of single skin lesion	84	79	$303.00	$24.51
17110 Destruction of up to 14 skin growths	69	60	$324.00	$54.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$85.00	$29.84
11103 Biopsy of related skin growth, each additional growth	18	15	$95.00	$18.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$280.00	$121.52
17004 Destruction of precancer skin growth, 15 or more growths	13	11	$495.00	$80.84

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	28	26	$180.00	$89.91
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$142.00	$43.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$276.00	$136.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$85.00	$21.59
17000 Destruction of skin growth	12	12	$237.00	$43.10

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	104	95	$180.00	$87.84
87804 Detection test by immunoassay with direct visual observation for influenza virus	49	26	$35.00	$16.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$276.00	$134.97
81003 Automated urinalysis test	29	29	$10.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$242.00	$119.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$182.00	$88.51
71046 X-ray of chest, 2 views	11	11	$50.00	$22.58

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	44	44	$276.00	$135.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	38	$238.62	$119.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$182.00	$88.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$180.00	$85.64
81003 Automated urinalysis test	20	20	$10.00	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$40.00	$15.60

Medical Specialties & State Licenses

CMS Verified: 2026-01-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA10389

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

Mountain West Derm - Blackhart Pllc

300 E Fm 2410 Rd, Harker Heights, TX 765481894

Phone: 2542130766

Mountain West Derm - Blackhart Pllc

208 Hwy 71 W, Bastrop, TX 786023727

Phone: 5123219400

Mountain West Derm - Blackhart Pllc

1320 Wonder World Dr, San Marcos, TX 786667558

Phone: 5123933375

Secondary Practice Locations

300 E Fm 2410 Rd Ste 109

Harker Heights, TX 765481894

Phone: 2542130766

Practice Associates & Co-Workers

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

14 Associated Practitioners

Arpy Kothari , PA

Physician Assistant

NPI 1134504202

Physician Assistant

Dr. Eric Adelman , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1194766444

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Cabrera , MD

Dermatology

NPI 1245242262

Doctor of Medicine (M.D.)

Dr. Matthew Smetanick , DO

Dermatology

NPI 1306023114

Doctor of Osteopathic Medicine (D.O.)

Dr. Christopher Conner , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1477501005

Doctor of Medicine (M.D.)

Dr. Seth Bernacki , DO

Dermatology

NPI 1528646775

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location April 07, 2023

Registered at 4513 WILLIAMS DR, GEORGETOWN, TX 786331302 (Tel: 5129303909)

📍

Updated Business Mailing Address April 07, 2023

Registered at 4513 WILLIAMS DR, GEORGETOWN, TX 786331302 (Tel: 5129303909)

📍

Updated Practice Location May 18, 2020

Registered at 2401 S 31ST ST, TEMPLE, TX 765084603 (Tel: 2547242111)

📍

Updated Business Mailing Address May 18, 2020

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 8009940371)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2020

Physician Assistant (License #PA10389 in TX)

✅

NPI Profile Active June 07, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2009

Registered at 1650 COCHRANE CIR, FORT CARSON, CO 809134603 (Tel: 7195267000)

📍

Updated Business Mailing Address June 07, 2009

Registered at 1650 COCHRANE CIR, FORT CARSON, CO 809134603

👤

Provider Name / Credentials Updated June 07, 2009

Recorded as BRIAN NAILLING, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2009

Physician Assistant

🟢

Initial NPI Registration & Enumeration June 07, 2009

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: 1639305428

Entity Type:

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

Enumeration Date: June 07, 2009

Last Update: January 26, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4513 Williams Dr

Georgetown, TX 786331302

Phone: 5129303909

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.