Brian Benjamin Nailling , PA-C
Physician Assistant โข Georgetown, TX
4513 Williams Dr
Georgetown, TX 786331302
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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Brian Nailling is listed in NPPES under Physician Assistant.
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NPI assigned on June 7, 2009; this date does not establish years in practice.
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Published CMS data list 3,573 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:
- 17003 โ Destruction of precancer skin growth, 2-14 growths: 1,084 service units.
- 99213 โ Established patient outpatient office visit: 607 service units.
- 99214 โ Established patient outpatient office visit: 427 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 all 17 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 939 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:
- Ketoconazole โ 178 prescription fills, including refills.
- Triamcinolone Acetonide โ 116 prescription fills, including refills.
- Clobetasol Propionate โ 85 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 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 29 clinicians with data). Median for this group: 435. Middle half: 162 to 903.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
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 92 in 2020 to 3,573 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
4513 Williams Dr
Georgetown, TX 786331302
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 Harker Heights, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Mountain West Derm - Blackhart Pllc. 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
2009
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
782 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 $201,673 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 $140,247 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
1,116 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
$392,803 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: $366.18 across 18 records.
By nature of payment
- Food and Beverage: $366.18 across 18 records.
Reporting-company totals (3 largest of 7)
- Novartis Pharmaceuticals Corporation: $108.11 across 5 records.
- LEO Pharma Inc.: $85.98 across 4 records.
- Bristol Myers Squibb Company: $63.23 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
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 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
2009
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
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)
Brian Nailling 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 Nailling 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 Georgetown and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 29 clinicians with data). Median for this group: 435. Middle half: 162 to 903.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 29 clinicians with data). Median for this group: $25,345. Middle half: $12,618 to $64,786.
A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 29 clinicians with data). Median for this group: $19,075. Middle half: $10,032 to $46,182.
A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 28 clinicians with data). Median for this group: 505. Middle half: 175 to 1,486.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Georgetown, TX (2024, 28 clinicians with data). Median for this group: $29,784. Middle half: $2,526 to $141,034.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
46 active clinicians are listed under Physician Assistant with a practice address in Georgetown, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Georgetown
15.2% of these 46 clinicians have the CMS telehealth indicator.
60.9% of these 46 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 increased 3784% from 92 in 2020 to 3,573 in 2024.
- 2020: 92
- 2021: 1,223
- 2022: 861
- 2023: 1,617
- 2024: 3,573
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Medicare-allowed amount
Medicare-allowed amount increased 3188% from $6,133 in 2020 to $201,673 in 2024.
- 2020: $6,133
- 2021: $39,708
- 2022: $28,493
- 2023: $96,607
- 2024: $201,673
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Paid by Medicare
Paid by Medicare increased 5066% from $2,715 in 2020 to $140,247 in 2024.
- 2020: $2,715
- 2021: $28,076
- 2022: $19,133
- 2023: $72,681
- 2024: $140,247
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1241% from 70 in 2020 to 939 in 2024.
- 2020: 70
- 2021: 523
- 2022: 418
- 2023: 251
- 2024: 939
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30-day fills
30-day fills increased 1478% from 71 in 2020 to 1,116 in 2024.
- 2020: 71
- 2021: 571
- 2022: 473
- 2023: 275
- 2024: 1,116
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Part D drug cost
Part D drug cost increased 15019% from $2,598 in 2020 to $392,803 in 2024.
- 2020: $2,598
- 2021: $16,953
- 2022: $10,935
- 2023: $105,224
- 2024: $392,803
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $27.23 in 2022 to $366.18 in 2025.
- 2022: $27.23
- 2023: $263.60
- 2024: $340.89
- 2025: $366.18
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): 18 records totaling $366.18.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
Rhapsido | General | $24.58 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $23.95 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $23.66 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $23.48 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $23.01 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $22.06 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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Sotyktu | General | $21.44 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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Sotyktu | General | $21.43 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $21.28 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $20.70 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
|
Sotyktu | General | $20.36 |
| LEO Pharma Inc. |
Food and Beverage
In-kind items and services
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ADBRY | General | $20.05 |
| SUN PHARMACEUTICAL INDUSTRIES INC. |
Food and Beverage
In-kind items and services
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ILUMYA | General | $19.55 |
| Arcutis Biotherapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Zoryve | General | $18.91 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $17.58 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $15.48 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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COSENTYX | General | $14.98 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
NEMLUVIO | General | $13.68 |
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 2017โ2023 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, 2018โ2024; 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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17003
Destruction of precancer skin growth, 2-14 growths
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1,084 | 215 | $13.88 | $5.26 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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607 | 409 | $186.68 | $73.54 |
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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
|
427 | 308 | $264.90 | $103.43 |
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17000
Destruction of precancer skin growth, 1 growth
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369 | 279 | $138.30 | $40.43 |
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17110
Destruction of skin growth, 1-14 growths
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334 | 237 | $241.04 | $89.85 |
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11102
Biopsy of related skin growth, first growth
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222 | 180 | $220.88 | $70.15 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
153 | 153 | $228.90 | $90.64 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
118 | 118 | $340.86 | $135.15 |
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11103
Biopsy of related skin growth, each additional growth
|
59 | 46 | $111.54 | $40.18 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
58 | 17 | $5.87 | $1.01 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
35 | 31 | $115.76 | $45.72 |
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17004
Destruction of precancer skin growth, 15 or more growths
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30 | 27 | $348.08 | $128.57 |
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17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
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19 | 17 | $374.36 | $136.14 |
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11900
Injection into skin growth, 1-7 growths
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16 | 14 | $117.98 | $43.36 |
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12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
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15 | 14 | $649.76 | $243.45 |
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69100
Biopsy of ear
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15 | 15 | $211.38 | $63.87 |
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10040
Acne surgery
|
12 | 12 | $245.74 | $89.43 |
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 |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 178 | 6,385 | $3,069.55 | 88 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 116 | 4,279 | $1,386.39 | 63 |
| Clobetasol Propionate | Clobetasol Propionate | 85 | 2,544 | $3,317.86 | 50 |
| Hydrocortisone | Hydrocortisone | 84 | 2,326 | $809.43 | 59 |
| Doxycycline Hyclate | Doxycycline Hyclate | 54 | 2,031 | $2,199.86 | 24 |
| Clindamycin Phosphate | Clindamycin Phosphate | 44 | 1,590 | $1,413.86 | 26 |
| Tacrolimus | Tacrolimus | 43 | 1,379 | $4,884.35 | 31 |
| Otezla | Apremilast | 42 | 1,316 | $209,016.32 | โ |
| Fluocinonide | Fluocinonide | 39 | 1,245 | $1,367.31 | 15 |
| Dupixent Pen | Dupilumab | 35 | 1,134 | $156,488.36 | โ |
| Fluorouracil | Fluorouracil | 34 | 932 | $2,269.96 | 30 |
| Ciclopirox | Ciclopirox | 30 | 1,064 | $888.90 | 15 |
| Tretinoin | Tretinoin | 28 | 840 | $1,776.70 | โ |
| Mupirocin | Mupirocin | 25 | 511 | $221.79 | 20 |
| Minoxidil | Minoxidil | 24 | 1,510 | $198.34 | โ |
| Prednisone | Prednisone | 21 | 564 | $95.24 | โ |
| Mometasone Furoate | Mometasone Furoate | 17 | 449 | $226.23 | โ |
| Ammonium Lactate | Ammonium Lactate | 14 | 450 | $62.05 | โ |
| Calcipotriene | Calcipotriene | 14 | 430 | $1,887.43 | โ |
| Fluocinolone Acetonide | Fluocinolone/Shower Cap | 12 | 330 | $1,223.56 | โ |
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
Self-certified to NPPES: 2026-01-26NUCC 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
I20180312000834
TX
9739440611
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
Mountain West Derm - Blackhart Pllc
300 E Fm 2410 Rd, Harker Heights, TX 765481894
Phone: 2542130766
Mountain West Derm - Blackhart Pllc
208 Hwy 71 W, Bastrop, TX 786023727
Phone: 5123219400
Mountain West Derm - Blackhart Pllc
1320 Wonder World Dr, San Marcos, TX 786667558
Phone: 5123933375
Secondary Practice Locations
300 E Fm 2410 Rd Ste 109
Harker Heights, TX 765481894
Phone: 2542130766
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dermatology - MOHS-Micrographic Surgery
Doctor of Osteopathic Medicine (D.O.)
Dermatology
Doctor of Osteopathic Medicine (D.O.)
Dermatology
Doctor of Medicine (M.D.)
Dermatology - MOHS-Micrographic Surgery
Doctor of Medicine (M.D.)
Dermatology - MOHS-Micrographic Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4513 WILLIAMS DR, GEORGETOWN, TX 786331302 (Tel: 5129303909)
Registered at 4513 WILLIAMS DR, GEORGETOWN, TX 786331302 (Tel: 5129303909)
Registered at 2401 S 31ST ST, TEMPLE, TX 765084603 (Tel: 2547242111)
Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 8009940371)
Physician Assistant (license number reported to NPPES: TX PA10389)
NPI status registered as active in NPPES database
Registered at 1650 COCHRANE CIR, FORT CARSON, CO 809134603 (Tel: 7195267000)
Registered at 1650 COCHRANE CIR, FORT CARSON, CO 809134603
Recorded as BRIAN NAILLING, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Georgetown
- Tony Gauntt, PA
- Karina Patel, PA-C
- Joan Speer, PA-C
- Liridona Halili
- Jennifer Warrington, PA-C
- Julia Case, PA-C
Mailing Address
4513 Williams Dr
Georgetown, TX 786331302
Phone: 5129303909