Dr. Brian Paul Fletcher, MD

  • Florence, AL
  • Vascular surgeon
NPI1285900597PAC ID7012150261
Medicare services, 2024
586
Medicare patients, 2024
269
Part D claims, 2024
531
Publications
4
Hospital affiliations
4
Practice address
1701 Veterans Drive, Florence, AL 35630
Practice phone
Call (256) 768-8400
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

North Alabama Medical Center

Hospital · Florence, Alabama

See all 6 affiliations

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Dr. Brian Paul Fletcher is a vascular surgeon in Florence, Alabama

Dr. Fletcher practices at North Alabama Medical Center in Florence, Alabama, part of Lifepoint Health.

Dr. Fletcher's NPI, 1285900597, was assigned on March 30, 2012. Dr. Fletcher graduated from Frederick P. Whiddon College of Medicine in 2012. Dr. Fletcher's Alabama license number on file is 38269.

NPI and contact details
Medicare PAC ID
7012150261
NPI enumeration date
March 30, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(256) 768-8400
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
40
Medical school graduation
2012

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Brian Paul Fletcher practices at North Alabama Medical Center in Florence, Alabama

Dr. Fletcher's primary practice is North Alabama Medical Center, at 1701 Veterans Drive, Florence, AL 35630 in Lauderdale County. The practice phone is (256) 768-8400.

Source: Dmand AI Affiliation Data

Dr. Brian Paul Fletcher is affiliated with 5 sites of care and 1 medical group

Dr. Fletcher's primary practice is North Alabama Medical Center in Florence, Alabama, part of Lifepoint Health. Dr. Fletcher is also affiliated with Helen Keller Hospital. The medical group on file is Loretto Family Care. Dmand AI also links Dr. Fletcher to 2 more hospitals and 1 group practice or clinic, each named with a free account.

See all 6 affiliations for Dr. Fletcher

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Brian Paul Fletcher's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fletcher practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
North Alabama Medical CenterAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Brian Paul Fletcher is one of 64 vascular surgeons in Alabama

Vascular surgery is Dr. Fletcher's primary specialty in the NPI Registry, under taxonomy code 2086S0129X. Dr. Fletcher is board certified in surgery by the American Board of Surgery. Dmand AI has Dr. Fletcher's licenses on file in 3 states: Alabama, Tennessee and Virginia.

Specialties and state licenses

  • Vascular surgery, AlabamaPrimaryLicense 38269 · 2019 to 2025 · taxonomy 2086S0129X
  • Tennessee license2024 to 2026
  • Virginia license2017 to 2020

Clinical focus

Dmand AI lists amputation, arterial blot clot /embolism, blood vessel access for dialysis, carotid revascularization, heart device and aorta surgery, peripheral vascular disease, varicose veins and varicose vein treatment among the conditions Dr. Fletcher treats.

Vascular surgeons near Dr. Fletcher

Counts of vascular surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Brian Paul Fletcher billed Medicare for 586 services in 2024

CMS data shows 586 Medicare services from Dr. Fletcher across 16 procedure codes in 2024, for 269 Medicare patients. Medicare paid $30,670 for them.

Medicare services, 2024586
Medicare patients269
Paid by Medicare$30,670
Procedure codes16

Dr. Fletcher's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2182024: 26522%
Tests and treatments
2023: 652024: 156140%
Other services
2023: 02024: 118
Surgery
2023: 132024: 36177%
Imaging
2023: 02024: 11

Where Dr. Fletcher's Medicare services took place, 2024

  • In an office35460%
  • In a facility23240%

Dr. Fletcher compared with the Alabama median for vascular surgeons, 2024

  • Dr. Fletcher
  • Alabama median
Medicare services
586vs 75923% below
Medicare patients
269vs 34322% below
Part D claims
492vs 27480% above

Medians across 57 vascular surgeons in Alabama with Dmand AI profiles that report each measure.

Dr. Fletcher's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Fletcher

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Fletcher and other vascular surgeons in Alabama.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Brian Paul Fletcher treated 269 Medicare patients in 2024, average age 73

CMS counts 269 Medicare patients who saw Dr. Fletcher in 2024. The largest group is 65 to 74, with 99 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 22% are also on Medicaid. Their average risk score is 3.16, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Fletcher's median patient age at 70, with 49% women.

Medicare patients, 2024269
Average age73
Average risk score3.16
Also on Medicaid22%

Dr. Fletcher's Medicare patients by age, 2024

Dr. Fletcher's Medicare patients by sex, 2024

  • Women12546%
  • Men14454%

Chronic conditions among Dr. Fletcher's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis59%
  4. Diabetes53%
  5. Ischemic heart disease46%
  6. Chronic kidney disease45%
  7. COPD41%
  8. Heart failure38%

Share of Medicare patients with each condition. A patient can have several.

Dr. Fletcher's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women49%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Brian Paul Fletcher wrote 531 Medicare Part D claims in 2024

In 2024, Dr. Fletcher wrote 531 Medicare Part D claims for 149 patients. 72% of them were for generic drugs. CMS names the drug for 492 of them, across 10 drugs with 11 or more claims each, at $108,025 in total drug cost. In 2023, CMS named 372 claims across 7 drugs.

Part D claims, 2024531
Drugs named by CMS10
Total drug cost$108,025
Part D patients149

Dr. Fletcher's Part D claims by kind of drug, 2024

  • Generic382 claims72%
  • Brand-name149 claims28%

Dr. Fletcher's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Fletcher's Part D claims, 2024

  • Opioids18%96 of 531 claims
  • Antibiotics4%20 of 531 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 3722024: 49232%

Drugs named by CMS: 10 in 2024, 7 in 2023.

See all prescribing by Dr. Fletcher

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Brian Paul Fletcher ranks in the 66th percentile for leg revascularization (restoring blood flow) in Medicare

Dr. Fletcher accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 12 procedures of leg revascularization (restoring blood flow) by Dr. Fletcher, more than 66% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Fletcher ranks in Medicare procedure volume

Varicose vein removal
62nd percentile26 procedures
Leg revascularization (restoring blood flow)
66th percentile12 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Brian Paul Fletcher has 4 publications on record

Dmand AI links 4 papers to Dr. Fletcher, published from 2016 to 2020. 2020 was the busiest year, with 2. Dr. Fletcher's most frequent co-authors are William D. Clouse, MD, Maryellen E. Gusic, MD and John A. Kern.

Papers4
Years published2016 to 2020

Dr. Fletcher's most frequent co-authors

Recent publications by Dr. Fletcher

See all 4 publications and co-authors

See who Dr. Fletcher researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Fletcher works with, so you can find a warm path to the right vascular surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Brian Paul Fletcher received $5,184 in industry payments from 2017 to 2025

CMS Open Payments shows 122 general payments to Dr. Fletcher from 22 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 71% of the total. Medtronic Vascular, Inc. paid the most, $1,867.

General payments to Dr. Fletcher by program year, 2017 to 2025

General payments to Dr. Fletcher by kind, 2017 to 2025

$5.2Kin total
  • Food and beverage$3,66371%
  • Travel and lodging$67213%
  • Education$54511%
  • Grants$3036%

Companies that paid Dr. Fletcher the most, 2017 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Fletcher

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Brian Paul Fletcher graduated from Frederick P. Whiddon College of Medicine

Dr. Fletcher graduated from Frederick P. Whiddon College of Medicine in 2012.

  1. Medical schoolFrederick P. Whiddon College of Medicine
  2. Board certified in surgeryAmerican Board of Surgery
  3. Board certified in vascular surgeryAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Dr. Brian Paul Fletcher accepts plans from 17 insurance carriers

Dr. Fletcher is in network with 17 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Cigna
  • United Healthcare
  • HCSC
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • +9 more carriersWith a free account

Plan types Dr. Fletcher accepts, by number of carriers

  1. PPO12
  2. Medicare10
  3. HMO8
  4. POS6
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Brian Paul Fletcher's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Brian Paul Fletcher

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Brian Paul Fletcher's NPI number?

Dr. Brian Paul Fletcher's NPI number is 1285900597. It was assigned on March 30, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Brian Paul Fletcher?

Dr. Brian Paul Fletcher is a vascular surgeon in Florence, Alabama. The primary specialty in the NPI Registry is Vascular Surgery Physician (taxonomy code 2086S0129X).

Where does Dr. Brian Paul Fletcher practice?

Dr. Fletcher practices at 1701 Veterans Drive, Florence, AL 35630. Dr. Fletcher's primary practice is North Alabama Medical Center in Florence, Alabama, part of Lifepoint Health. Dmand AI also links Dr. Fletcher to 2 hospitals and 1 group practice or clinic.

What is Dr. Brian Paul Fletcher's office phone number?

The practice phone on file for Dr. Fletcher is (256) 768-8400.

What is Dr. Brian Paul Fletcher's medical license number?

Dr. Fletcher's Alabama license number on file is 38269, one of the licenses on file in 3 states.

Which states has Dr. Brian Paul Fletcher been licensed in?

Dmand AI has state licenses on file for Dr. Fletcher in Alabama (2019 to 2025), Tennessee (2024 to 2026) and Virginia (2017 to 2020).

Which hospitals is Dr. Brian Paul Fletcher affiliated with?

Dr. Fletcher practices at North Alabama Medical Center in Florence, Alabama. Dr. Fletcher is also affiliated with Helen Keller Hospital. Dmand AI links Dr. Fletcher to 2 more hospitals.

What medical group is Dr. Brian Paul Fletcher part of?

Dr. Fletcher is linked to Loretto Family Care.

Does Dr. Brian Paul Fletcher accept Medicare?

Yes. CMS data shows Dr. Fletcher billed Medicare for 586 services in 2024, and Dr. Fletcher accepts Medicare assignment.

How many Medicare patients does Dr. Brian Paul Fletcher see?

CMS counts 269 Medicare patients who saw Dr. Fletcher in 2024, with an average age of 73.

Show 9 more questionsShow fewer questions

Is Dr. Brian Paul Fletcher board certified?

Yes. Dr. Fletcher is board certified in surgery by the American Board of Surgery.

What services does Dr. Brian Paul Fletcher bill to Medicare?

In 2024, Dr. Fletcher's most billed Medicare services were medicare service (G2211), office visit, established patient (99213) and office visit, established patient (99212).

Where did Dr. Brian Paul Fletcher go to medical school?

Dr. Fletcher graduated from Frederick P. Whiddon College of Medicine in 2012.

What drugs does Dr. Brian Paul Fletcher prescribe most?

In 2024 Medicare Part D data, Dr. Fletcher's most prescribed drugs by claims were Atorvastatin Calcium, Hydrocodone-Acetaminophen and Eliquis.

Has Dr. Brian Paul Fletcher received payments from drug or device companies?

CMS Open Payments shows $5,184 in general payments to Dr. Fletcher from 22 companies from 2017 to 2025. The largest total came from Medtronic Vascular, Inc.

How long has Dr. Brian Paul Fletcher been practicing?

Dr. Fletcher graduated from medical school in 2012, 14 years ago.

Does Dr. Brian Paul Fletcher do research?

Dmand AI links 4 publications to Dr. Fletcher, published from 2016 to 2020.

Who does Dr. Brian Paul Fletcher publish with?

Dr. Fletcher's most frequent co-authors are William D. Clouse, MD (1 shared paper), Maryellen E. Gusic, MD (1 shared paper) and John A. Kern (1 shared paper).

What insurance does Dr. Brian Paul Fletcher accept?

Dr. Fletcher is in network with 17 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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