BRIAN CRAIG PRIDGEN – Plastic Surgery Physician, NPI 1417213802
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for BRIAN CRAIG PRIDGEN
770 WELCH RD
SUITE 400
PALO ALTO, CA 943041511
Phone: (111) 111-1111
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $2,191.
Total Amount is formed as General ($2,191) + Research ($0) + Ownership ($0) = $2,191.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Arthrex, Inc. ($884).
Total Amount
$2,191
General + Research + Ownership
Payments
36
Total payment records
General Amount
$2,191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $884 |
| TriMed, Inc. | $324 |
| PolyNovo North America LLC | $171 |
| Evolution Surgical, Inc | $145 |
| AXOGEN | $145 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201201001416 | I | Plastic And Reconstructive Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 76000 | Imaging guidance for procedure, 60 minutes or less | 44 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 94304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Plastic And Reconstructive Surgery | CA | |
| Hand Surgery, Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA |
Reviews
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