Brian Pridgen
NPI 1417213802 · Plastic Surgery Physician · Palo Alto, CA
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Pridgen is a Plastic Surgery Physician provider in Palo Alto, CA (NPI 1417213802).
Provider details
- NPI number
- 1417213802
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
109 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 45 | $110 |
| Imaging Guidance for Procedure, 60 Minutes Or Less76000 | 43 | $55 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 | $133 |
Typical Medicare-allowed amounts for these services range $55–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$715 across 18 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Frequently asked questions
- What is Brian Pridgen's NPI number?
- Brian Pridgen's National Provider Identifier (NPI) is 1417213802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Pridgen's specialty?
- Brian Pridgen is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Pridgen located?
- Brian Pridgen's practice location on file with NPPES is 770 Welch Rd, Palo Alto, CA 94304-1511.
- What is Brian Pridgen's phone number?
- The practice phone number listed in the NPPES registry for Brian Pridgen is (111) 111-1111.
- Does Brian Pridgen accept Medicare?
- Brian Pridgen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Pridgen's NPI active?
- Yes — Brian Pridgen's NPI (1417213802) is active in the NPPES registry as of the last update on 2020-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.