Bryan Daniel Lorch , PA
Physician Assistant • Johnson City, TN
2514 Wesley St, 102
Johnson City, TN 376011764
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 November 16, 2005; this date does not establish years in practice.
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Published CMS data list 215 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99231 — Subsequent hospital care with straightforward or low level of medical decision making, per day: 100 service units.
- 99222 — Initial hospital care with straightforward or low-level medical decision making: 83 service units.
- 99221 — Initial hospital care with straightforward or low level of medical decision making, per day: 21 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Johnson City, TN (2024, 52 clinicians with data). Median for this group: 255. Middle half: 103 to 896.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Tennessee (2024, 1,590 clinicians with data). Median for this group: 284. Middle half: 104 to 964.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 285 in 2020 to 215 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2514 Wesley St
102
Johnson City, TN 376011764
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Johnson City, TN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Blue Ridge Medical Management Corporation. 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
2002
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
137 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 – by Provider, 2024.
Medicare-allowed amount
About $14,229 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 – by Provider and Service, 2024.
Paid by Medicare
About $11,024 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 – by Provider and Service, 2024.
Open Payments general payments, program year 2025
All general payments: $614.22 across 21 records.
By nature of payment
- Food and Beverage: $561.05 across 20 records.
- Education: $53.17 across 1 record.
Reporting-company totals (3 largest of 5)
- Stryker Corporation: $426.15 across 16 records.
- Penumbra, Inc.: $98.50 across 1 record.
- AngioDynamics, Inc.: $50.48 across 2 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
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 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
2005
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Bryan Lorch 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 Bryan Lorch 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 Johnson City and Tennessee
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Johnson City, TN (2024, 52 clinicians with data). Median for this group: 255. Middle half: 103 to 896.
Close to the middle for clinicians listed under Physician Assistant in Tennessee (2024, 1,590 clinicians with data). Median for this group: 284. Middle half: 104 to 964.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Johnson City, TN (2024, 52 clinicians with data). Median for this group: $14,222. Middle half: $5,825 to $34,145.
Close to the middle for clinicians listed under Physician Assistant in Tennessee (2024, 1,590 clinicians with data). Median for this group: $19,963. Middle half: $7,229 to $42,313.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Johnson City, TN (2024, 52 clinicians with data). Median for this group: $10,924. Middle half: $4,445 to $26,611.
Close to the middle for clinicians listed under Physician Assistant in Tennessee (2024, 1,590 clinicians with data). Median for this group: $14,558. Middle half: $5,319 to $31,716.
98 active clinicians are listed under Physician Assistant with a practice address in Johnson City, TN (3,120 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Johnson City
3.1% of these 98 clinicians have the CMS telehealth indicator.
60.2% of these 98 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 25% from 285 in 2020 to 215 in 2024.
- 2020: 285
- 2021: 219
- 2022: 327
- 2023: 289
- 2024: 215
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Medicare-allowed amount
Medicare-allowed amount decreased 27% from $19,598 in 2020 to $14,229 in 2024.
- 2020: $19,598
- 2021: $13,630
- 2022: $17,881
- 2023: $18,076
- 2024: $14,229
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Paid by Medicare
Paid by Medicare decreased 29% from $15,622 in 2020 to $11,024 in 2024.
- 2020: $15,622
- 2021: $10,917
- 2022: $14,221
- 2023: $14,306
- 2024: $11,024
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $45.13 in 2021 to $614.22 in 2025.
- 2021: $45.13
- 2022: $217.49
- 2023: $46.60
- 2024: $126.26
- 2025: $614.22
Sources: CMS Medicare Physician & Other Practitioners (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 · 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 – December 31, 2025): 21 records totaling $614.22.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
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CLOTTRIEVER BOLD CATHETER | General | $129.70 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Indigo System | General | $98.50 |
| Stryker Corporation |
Education
Cash or cash equivalent
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FLOWTRIEVER | General | $53.17 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER | General | $49.24 |
| AngioDynamics, Inc. |
Food and Beverage
In-kind items and services
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ALPHAVAC | General | $28.43 |
| AngioDynamics, Inc. |
Food and Beverage
In-kind items and services
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ALPHAVAC | General | $22.05 |
| Bard Peripheral Vascular, Inc. |
Food and Beverage
In-kind items and services
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— | General | $21.42 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER CATHETER, S | General | $20.36 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER | General | $20.20 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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REVCORE THROMBECTOMY CATHETER | General | $19.49 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER CATHETER, S | General | $19.04 |
| CORDIS US CORP. |
Food and Beverage
In-kind items and services
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MYNX CONTROL VENOUS | General | $17.67 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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INTHRILL THROMBECTOMY CATHETER | General | $16.41 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
REVCORE THROMBECTOMY CATHETER | General | $15.05 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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REVCORE THROMBECTOMY CATHETER | General | $14.24 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
CT THROMBECTOMY SYSTEM KIT | General | $13.92 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
CLOTTRIEVER BOLD CATHETER | General | $13.30 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
INTHRILL THROMBECTOMY CATHETER | General | $12.01 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
INTHRILL THROMBECTOMY CATHETER | General | $11.60 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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INTHRILL THROMBECTOMY CATHETER | General | $10.17 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
INTHRILL THROMBECTOMY CATHETER | General | $8.25 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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100 | 68 | $70.00 | $38.41 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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83 | 81 | $350.00 | $101.33 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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21 | 20 | $170.00 | $62.15 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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11 | 11 | $125.00 | $61.14 |
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.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-09-30NUCC 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.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20041012001063
TN
6204896558
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
Blue Ridge Medical Management Corporation
1497 W Elk Ave, Elizabethton, TN 376432896
Blue Ridge Medical Management Corporation
408 N State Of Franklin Rd, Johnson City, TN 376046035
Phone: 4234314946
Blue Ridge Medical Management Corporation
400 N State Of Franklin Rd, Johnson City, TN 376046035
Phone: 4234314847
Blue Ridge Medical Management Corporation
400 N State Of Franklin Rd, Johnson City, TN 376046035
Phone: 4234312727
Secondary Practice Locations
410 N State Of Franklin Rd Ste 135b
Johnson City, TN 376046972
Phone: 4234312350
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Additional practice office at 410 N State of Franklin Rd Ste 135B, Johnson City, TN 376046972
NPI status registered as active in NPPES database
Registered at 2514 WESLEY ST, 102, JOHNSON CITY, TN 376011764 (Tel: 4232828070)
Registered at 2514 WESLEY ST, 102, JOHNSON CITY, TN 376011764 (Tel: 4232828070)
Recorded as BRYAN LORCH, P.A.
Physician Assistant (license number reported to NPPES: TN PA0000000982)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Johnson City
- Brian Buxton, PA-C
- John Waldron, PA
- Victoria Johnson, PA-C
- Kevin White, PA
- Mariah Wagner, PA-C
- Michael Johnson, PA
Mailing Address
2514 Wesley St, 102
Johnson City, TN 376011764
Phone: 4232828070