BRIANNA FEDORICH (PA-C) – Surgical Physician Assistant, NPI 1215419775
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIANNA FEDORICH (PA-C)
5461 MERIDIAN MARK RD
ATLANTA, GA 303423007
Phone: (404) 785-6895
Type: Location
8810 DAYLIGHT DR
LIVERPOOL, NY 130901594
Phone: (856) 625-8299
Type: Mailing
Crouse Hospital, 736, Irving Avenue, University Hill, Syracuse, Onondaga County, New York, 13210, United States
SYRACUSE, NY 132101690
Phone: (315) 470-7111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-12-05
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 |
|---|---|---|---|---|
| I20181205003742 | I | Physician Assistant | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Hospitalist | NY | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | NY | |
| Hospitalist, Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| Hospitalist, Internal Medicine | IL | |
| Physician Assistant | NY | |
| Nurse Practitioner | NY | |
| Internal Medicine | NY | |
| Internal Medicine | MN |
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