Brian Upper , PA
Physician Assistant โข Lansing, MI
1140 E Michigan Ave Ste 400
Lansing, MI 489121806
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 29, 2012; this date does not establish years in practice.
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Published CMS data list 270 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 247 service units.
- 99214 โ Established patient outpatient office visit: 23 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 4,007 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Metoprolol Succinate โ 402 prescription fills, including refills.
- Eliquis (Apixaban) โ 342 prescription fills, including refills.
- Carvedilol โ 292 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 41 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Lansing, MI (2024, 78 clinicians with data). Median for this group: 191. Middle half: 120 to 364.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: 134. Middle half: 59 to 290.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 705 in 2020 to 270 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1140 E Michigan Ave Ste 400
Lansing, MI 489121806
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Edward W Sparrow Hospital Association; Sparrow Carson Hospital. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
214 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $21,636 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $16,071 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
9,718 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$906,497 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $611.43 across 24 records.
By nature of payment
- Food and Beverage: $611.43 across 24 records.
Reporting-company totals (3 largest of 11)
- Bayer Healthcare Pharmaceuticals Inc.: $156.44 across 7 records.
- Abbott Laboratories: $148.92 across 1 record.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $59.19 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Brian Upper has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Brian Upper as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lansing and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Lansing, MI (2024, 78 clinicians with data). Median for this group: 191. Middle half: 120 to 364.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: 134. Middle half: 59 to 290.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Lansing, MI (2024, 78 clinicians with data). Median for this group: $17,198. Middle half: $10,129 to $27,561.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $10,676. Middle half: $4,960 to $20,226.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Lansing, MI (2024, 78 clinicians with data). Median for this group: $12,487. Middle half: $7,414 to $19,735.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $7,770. Middle half: $3,621 to $14,890.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Lansing, MI (2024, 93 clinicians with data). Median for this group: 305. Middle half: 80 to 2,200.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: 302. Middle half: 82 to 1,061.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Lansing, MI (2024, 93 clinicians with data). Median for this group: $8,454. Middle half: $687 to $344,802.
A higher Part D drug cost than 95% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: $6,107. Middle half: $669 to $117,415.
154 active clinicians are listed under Physician Assistant with a practice address in Lansing, MI (6,989 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lansing
14.3% of these 154 clinicians have the CMS telehealth indicator.
55.8% of these 154 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 62% from 705 in 2020 to 270 in 2024.
- 2020: 705
- 2021: 643
- 2022: 583
- 2023: 422
- 2024: 270
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Medicare-allowed amount
Medicare-allowed amount decreased 47% from $41,148 in 2020 to $21,636 in 2024.
- 2020: $41,148
- 2021: $46,941
- 2022: $46,070
- 2023: $34,535
- 2024: $21,636
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Paid by Medicare
Paid by Medicare decreased 47% from $30,408 in 2020 to $16,071 in 2024.
- 2020: $30,408
- 2021: $34,165
- 2022: $32,833
- 2023: $23,985
- 2024: $16,071
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 52% from 2,632 in 2020 to 4,007 in 2024.
- 2020: 2,632
- 2021: 4,143
- 2022: 3,963
- 2023: 3,528
- 2024: 4,007
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30-day fills
30-day fills increased 73% from 5,630 in 2020 to 9,718 in 2024.
- 2020: 5,630
- 2021: 9,465
- 2022: 9,382
- 2023: 8,387
- 2024: 9,718
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Part D drug cost
Part D drug cost increased 219% from $283,778 in 2020 to $906,497 in 2024.
- 2020: $283,778
- 2021: $631,266
- 2022: $611,704
- 2023: $723,544
- 2024: $906,497
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 41% from $1,029.15 in 2021 to $611.43 in 2025.
- 2021: $1,029.15
- 2022: $774.01
- 2023: $867.82
- 2024: $834.68
- 2025: $611.43
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 24 records totaling $611.43.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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CARDIOMEMS | General | $148.92 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $50.37 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $30.56 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $28.14 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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LEQVIO | General | $26.98 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
CAMZYOS | General | $23.15 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $22.51 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $21.22 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $21.09 |
| Impulse Dynamics (USA) Inc. |
Food and Beverage
Cash or cash equivalent
|
Optimizer | General | $20.25 |
| SCPHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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FUROSCIX | General | $20.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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โ | General | $19.11 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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ELIQUIS | General | $18.55 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $18.44 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $18.44 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
REPATHA | General | $18.38 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
WAINUA | General | $17.64 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $17.60 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $17.00 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $15.46 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BRILINTA | General | $13.64 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $13.50 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $5.40 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) |
Food and Beverage
Cash or cash equivalent
|
LifeVest | General | $5.08 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | 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
|
247 | 175 | $106.00 | $78.97 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
23 | 22 | $200.96 | $92.63 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 402 | 32,027 | $7,518.34 | 162 |
| Eliquis | Apixaban | 342 | 21,407 | $399,631.49 | 113 |
| Carvedilol | Carvedilol | 292 | 22,282 | $5,058.52 | 116 |
| Atorvastatin Calcium | Atorvastatin Calcium | 248 | 20,337 | $4,078.43 | 108 |
| Furosemide | Furosemide | 235 | 16,607 | $1,727.32 | 103 |
| Losartan Potassium | Losartan Potassium | 219 | 16,410 | $3,336.90 | 88 |
| Lisinopril | Lisinopril | 188 | 12,804 | $1,219.03 | 69 |
| Amlodipine Besylate | Amlodipine Besylate | 169 | 12,049 | $1,042.77 | 62 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 150 | 11,103 | $3,236.04 | 52 |
| Entresto | Sacubitril/Valsartan | 139 | 8,465 | $181,743.30 | 51 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 136 | 8,942 | $2,161.28 | 42 |
| Metoprolol Tartrate | Metoprolol Tartrate | 136 | 8,369 | $864.11 | 50 |
| Potassium Chloride | Potassium Chloride | 136 | 10,468 | $3,744.94 | 61 |
| Clopidogrel | Clopidogrel Bisulfate | 130 | 10,345 | $2,522.57 | 48 |
| Bumetanide | Bumetanide | 96 | 7,261 | $4,032.87 | 39 |
| Ezetimibe | Ezetimibe | 89 | 7,346 | $2,625.40 | 32 |
| Hydralazine Hcl | Hydralazine Hcl | 86 | 5,231 | $1,512.16 | 28 |
| Amiodarone Hcl | Amiodarone Hcl | 85 | 6,780 | $4,067.44 | 41 |
| Spironolactone | Spironolactone | 81 | 6,184 | $907.32 | 31 |
| Farxiga | Dapagliflozin Propanediol | 66 | 4,620 | $81,385.74 | 24 |
| Xarelto | Rivaroxaban | 55 | 3,840 | $67,165.74 | 23 |
| Jardiance | Empagliflozin | 50 | 3,420 | $64,577.05 | 23 |
| Repatha Sureclick | Evolocumab | 49 | 1,932 | $36,555.46 | โ |
| Nebivolol Hcl | Nebivolol Hcl | 49 | 4,410 | $3,588.44 | 19 |
| Hydrochlorothiazide | Hydrochlorothiazide | 47 | 3,870 | $295.86 | 19 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20130204000227
MI
9032363874
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Sparrow Carson Hospital
245 S 2nd St, Carson City, MI 488119650
Edward W Sparrow Hospital Association
406 E Elm St, Carson City, MI 488119693
Edward W Sparrow Hospital Association
1215 E Michigan Ave, Lansing, MI 489121811
Sparrow Carson Hospital
401 E Elm St, Carson City, MI 488119693
Phone: 9895846217
Sparrow Carson Hospital
401 E Elm St, Carson City, MI 488119693
Phone: 9895846217
Edward W Sparrow Hospital Association
1140 E Michigan Ave, Lansing, MI 489121806
Edward W Sparrow Hospital Association
245 S 2nd St, Carson City, MI 488119650
Phone: 9895846217
Sparrow Carson Hospital
406 E Elm St, Carson City, MI 488119693
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Clinical Cardiac Electrophysiology
Doctor of Medicine (M.D.)
Internal Medicine - Interventional Cardiology
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Acute Care
Master of Science in Nursing
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1140 E MICHIGAN AVE STE 400, LANSING, MI 489121806 (Tel: 5173649650)
NPI status registered as active in NPPES database
Registered at 401 W GREENLAWN AVE, LANSING, MI 489102819 (Tel: 5179758010)
Registered at 405 W GREENLAWN AVE, LANSING, MI 489102898
Recorded as BRIAN UPPER, P.A.
Physician Assistant (license number reported to NPPES: MI 5601006451)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lansing
- Jason Schumer, PA-C
- Jennifer Weston, PA
- Donald Taylor, PA
- Alexandra Whitman, PA-C
- Nasima Omar, PA
- Jacquelyn Lewis, PA-C
More public profiles in Michigan
Directory navigation, in NPI number order.
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- Matthew Waldrop, MD Radiology - Diagnostic Radiology ยท Grand Rapids
- Shuchi Jain, DO Anesthesiology ยท Detroit
- John Chrustowski, OD Optometrist ยท Shelby Township
- Abhishek Satishchandran, MD Internal Medicine - Gastroenterology ยท Ann Arbor
- Nichole Hilk, OD Optometrist ยท Spring Lake
- Sonya Bowers, AuD Audiologist ยท Troy
- Farida Hakim, MD Ophthalmology ยท Ann Arbor
- Michelle Reed, PMHNP Nurse Practitioner - Psychiatric/Mental Health ยท Muskegon
- Zahra Moshref, APN Nurse Practitioner - Psychiatric/Mental Health ยท Walled Lake
- Marcos Yassa, PA-C Physician Assistant ยท New Baltimore
- Corrina Shampo, DC Chiropractor ยท Kingsford
Mailing Address
405 W Greenlawn Ave
Lansing, MI 489102898