Active NPI 1811955800 Individual Practitioner Male Practitioner

Dr. Brian R Bradshaw , MD

Dermatology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Bradshaw, MD is a certified Dermatology practicing in Provo, UT. With approximately 38 years of clinical experience since graduating from University Of Utah School Of Medicine in 1988, Dr. Bradshaw delivers high-quality medical care to the local community at 1055 N 500 W.

Dr. Bradshaw is affiliated with Revere Health Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Suite 111

Provo, UT 846043305

Telephone 8013748999

Fax 8014298063

Associated Practice Facility / Clinic

🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +10.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Provo, UT (184 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bradshaw (38 Years) 38 Yrs

Provo Specialty Average (27.4 Years) 27.4 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	949	159	$19.00	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	400	300	$152.70	$86.18
88305 Pathology examination of tissue using a microscope, intermediate complexity	258	114	$148.00	$67.23
17000 Destruction of skin growth	253	203	$126.00	$52.80
11102 Tangential biopsy of single skin lesion	84	72	$193.00	$83.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	59	$215.62	$119.68
17110 Destruction of up to 14 skin growths	66	64	$216.00	$100.66
11103 Biopsy of related skin growth, each additional growth	43	20	$103.00	$46.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$187.86	$105.81
17004 Destruction of precancer skin growth, 15 or more growths	22	15	$365.00	$149.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	12	$340.00	$123.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	12	$281.00	$99.73
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	13	$344.00	$126.91
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	12	$35.00	$15.71
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	11	$316.00	$125.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$94.85	$53.45
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$589.00	$282.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$583.00	$272.17
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	11	$85.00	$39.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$282.00	$147.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	823	156	$19.00	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	424	332	$149.94	$85.64
17000 Destruction of skin growth	251	196	$126.00	$52.45
88305 Pathology examination of tissue using a microscope, intermediate complexity	178	107	$148.00	$67.00
11102 Tangential biopsy of single skin lesion	76	71	$193.00	$87.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	46	$211.95	$121.66
17110 Destruction of up to 14 skin growths	55	49	$216.00	$100.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$186.00	$106.76
11103 Biopsy of related skin growth, each additional growth	31	21	$103.00	$47.51
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	14	$316.00	$139.49
17004 Destruction of precancer skin growth, 15 or more growths	17	12	$365.00	$159.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	11	$583.00	$287.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	918	161	$19.00	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	394	291	$147.93	$86.47
17000 Destruction of skin growth	278	206	$126.52	$54.27
88305 Pathology examination of tissue using a microscope, intermediate complexity	173	101	$134.47	$60.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	71	$208.84	$123.17
11102 Tangential biopsy of single skin lesion	55	52	$191.91	$86.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$186.95	$107.29
17110 Destruction of up to 14 skin growths	50	45	$214.96	$104.42
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	17	$314.24	$120.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	15	$336.10	$136.66
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	20	17	$344.00	$150.62
88304 Pathology examination of tissue using a microscope, moderately low complexity	14	11	$80.71	$36.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$576.91	$289.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	937	167	$19.00	$6.16
99213 Established patient office or other outpatient visit, typically 15 minutes	340	270	$146.47	$87.73
17000 Destruction of skin growth	283	220	$132.08	$54.21
88305 Pathology examination of tissue using a microscope, intermediate complexity	222	120	$85.52	$37.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	158	$206.81	$124.21
11102 Tangential biopsy of single skin lesion	86	78	$172.62	$90.53
17110 Destruction of up to 14 skin growths	57	50	$190.42	$103.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$184.27	$108.43
11103 Biopsy of related skin growth, each additional growth	38	23	$91.79	$50.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$282.46	$162.55
11104 Punch biopsy, first skin growth	19	18	$227.00	$121.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	15	$251.68	$112.42
88304 Pathology examination of tissue using a microscope, moderately low complexity	19	14	$28.00	$11.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$520.25	$287.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$88.75	$54.04
17004 Destruction of precancer skin growth, 15 or more growths	12	11	$365.17	$158.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	820	169	$19.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	395	300	$134.27	$72.83
17000 Destruction of skin growth	270	217	$132.97	$54.71
88305 Pathology examination of tissue using a microscope, intermediate complexity	177	117	$87.81	$39.66
11102 Tangential biopsy of single skin lesion	84	78	$160.00	$89.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	70	$197.00	$103.64
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$137.08	$72.48
17110 Destruction of up to 14 skin growths	41	34	$198.78	$106.14
11103 Biopsy of related skin growth, each additional growth	28	21	$86.00	$49.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$80.86	$44.01
88304 Pathology examination of tissue using a microscope, moderately low complexity	14	12	$27.93	$11.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	995	187	$19.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	460	337	$122.96	$72.39
17000 Destruction of skin growth	314	241	$132.00	$55.46
88305 Pathology examination of tissue using a microscope, intermediate complexity	216	142	$84.50	$39.60
11102 Tangential biopsy of single skin lesion	106	98	$160.00	$93.16
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$126.71	$74.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$182.00	$106.82
17110 Destruction of up to 14 skin growths	35	32	$204.51	$105.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$74.00	$43.94
11103 Biopsy of related skin growth, each additional growth	24	21	$86.00	$51.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$330.00	$160.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$570.00	$298.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,027	204	$19.00	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	525	384	$122.00	$70.75
17000 Destruction of skin growth	345	254	$132.00	$56.55
88305 Pathology examination of tissue using a microscope, intermediate complexity	269	140	$84.52	$39.50
11100 Biopsy of single growth of skin and/or tissue	124	108	$186.00	$97.67
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$125.00	$71.28
11101 Biopsy of each additional growth of skin and/or tissue	61	36	$60.00	$32.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$72.00	$42.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$180.00	$104.52
17110 Destruction of up to 14 skin growths	20	17	$180.00	$104.43
88304 Pathology examination of tissue using a microscope, moderately low complexity	16	14	$91.00	$38.83
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	12	$273.00	$147.70
17004 Destruction of precancer skin growth, 15 or more growths	14	14	$367.00	$140.72
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$237.00	$116.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	11	11	$289.00	$139.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	998	178	$9.00	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	499	349	$116.01	$70.24
17000 Destruction of skin growth	311	221	$109.00	$54.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	262	157	$86.72	$39.59
11100 Biopsy of single growth of skin and/or tissue	140	123	$168.00	$96.62
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$118.00	$71.42
11101 Biopsy of each additional growth of skin and/or tissue	45	30	$54.00	$32.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$170.00	$103.80
17110 Destruction of up to 14 skin growths	27	25	$179.00	$103.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$69.00	$41.90
36415 Insertion of needle into vein for collection of blood sample	16	16	$10.00	$2.79
88304 Pathology examination of tissue using a microscope, moderately low complexity	13	12	$51.62	$22.11
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$495.00	$279.98
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$483.00	$248.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$12.00	$6.59

Medical Specialties & State Licenses

CMS Verified: 2020-08-25

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 2806031205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Healthcare

03-00064 (UT)

Commercial Insurance / Payer ID Pehp

36578 (UT)

Commercial Insurance / Payer ID Altius

QM0000001619 (UT)

Commercial Insurance / Payer ID Dmba

225984 (UT)

Commercial Insurance / Payer ID Ihc Healthplans

107006919101 (UT)

Commercial Insurance / Payer ID Palmetto

070008058 (UT)

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298000

Practice Associates & Co-Workers

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

7 Associated Practitioners

Jaddon Rogers , PA-C

Physician Assistant

NPI 1134638810

Physician Assistant (Certified)

Dr. Payam Tristani-Firouzi , MD

Dermatology

NPI 1407943921

Doctor of Medicine (M.D.)

Dr. Jake Fagan , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1548688989

Doctor of Medicine (M.D.)

Dr. Kevin Gardner , DO

Dermatology

NPI 1639490386

Doctor of Osteopathic Medicine (D.O.)

Dr. Reed Garza , MD

Dermatology

NPI 1669715819

Doctor of Medicine (M.D.)

Nicole Rawle , APRN

Nurse Practitioner

NPI 1669777314

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 18, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

✅

NPI Profile Active October 16, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2007

Registered at 1055 N 500 W, SUITE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍

Updated Business Mailing Address October 16, 2007

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013548225)

👤

Provider Name / Credentials Updated October 16, 2007

Recorded as BRIAN BRADSHAW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2007

Dermatology (License #2806031205 in UT)

🟢

Initial NPI Registration & Enumeration May 02, 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: 1811955800

Entity Type:

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

Enumeration Date: May 02, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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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.