Dr. Brian S. Metzger, MD

  • Kerrville, TX
  • Infectious disease specialist
NPI1538306899PAC ID8123170735
Medicare services, 2024
545
Medicare patients, 2024
169
Part D claims, 2024
421
Clinical trials
2
MIPS score, 2024
65
Practice address
551 Hill Country Drive, Kerrville, TX 78028
Practice phone
Call (830) 896-4200
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Peterson Regional Medical Center

Hospital · Kerrville, Texas

See all 7 affiliations

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Dr. Brian S. Metzger is an infectious disease specialist in Kerrville, Texas

Dr. Metzger practices at Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health.

Dr. Metzger's NPI, 1538306899, was assigned on January 8, 2009. Dr. Metzger graduated from Medical College of Georgia in 2003. Dr. Metzger holds Texas license N2660.

NPI and contact details
Medicare PAC ID
8123170735
NPI enumeration date
January 8, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(830) 896-4200
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
49
Medical school graduation
2003

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

Dr. Brian S. Metzger practices at Peterson Regional Medical Center in Kerrville, Texas

Dr. Metzger's primary practice is Peterson Regional Medical Center, at 551 Hill Country Drive, Kerrville, TX 78028 in Kerr County. The practice phone is (830) 896-4200.

Source: Dmand AI Affiliation Data

Dr. Brian S. Metzger is affiliated with 6 sites of care and 1 medical group

Dr. Metzger's primary practice is Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health. Dr. Metzger is also affiliated with St. David's Medical Center. The medical group on file is Austin Infectious Disease Consultants. Dmand AI also links Dr. Metzger to 3 more hospitals and 1 group practice or clinic, each named with a free account.

See all 7 affiliations for Dr. Metzger

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

Dmand AI tracks the EHR system at Dr. Brian S. Metzger's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Metzger practices, 6 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Peterson Regional Medical CenterAvailable with a free account
+5 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Brian S. Metzger is one of 629 infectious disease specialists in Texas

Infectious disease is Dr. Metzger's primary specialty in the NPI Registry, under taxonomy code 207RI0200X. Dr. Metzger is board certified in infectious disease by the American Board of Internal Medicine. Dmand AI has Dr. Metzger's licenses on file in 2 states: Texas and New York.

Specialties and state licenses

  • Infectious disease, TexasPrimaryLicense N2660 · 2009 to 2026 · taxonomy 207RI0200X
  • New York license2004 to 2009

Clinical focus

Dmand AI lists cold sores or genital herpes, endocarditis, facial skin infection, hiv/aids and joint or bone infection among the conditions Dr. Metzger treats.

Infectious disease specialists near Dr. Metzger

Counts of infectious disease specialists 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 S. Metzger billed Medicare for 545 services in 2024

CMS data shows 545 Medicare services from Dr. Metzger across 7 procedure codes in 2024, for 169 Medicare patients. Medicare paid $45,537 for them.

Medicare services, 2024545
Medicare patients169
Paid by Medicare$45,537
Procedure codes7

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

  • 2023
  • 2024
Office and hospital visits
2023: 4902024: 41815%
Other services
2023: 1052024: 12721%

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

  • In an office8916%
  • In a facility45684%

Dr. Metzger compared with the Texas median for infectious disease specialists, 2024

  • Dr. Metzger
  • Texas median
Medicare services
545vs 39239% above
Medicare patients
169vs 165Close to median
Part D claims
316vs 20058% above

Medians across 571 infectious disease specialists in Texas with Dmand AI profiles that report each measure.

Dr. Metzger'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. Metzger

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Metzger and other infectious disease specialists in Texas.

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

Dr. Brian S. Metzger treated 169 Medicare patients in 2024, average age 72

CMS counts 169 Medicare patients who saw Dr. Metzger in 2024. The largest group is 65 to 74, with 74 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 15% are also on Medicaid. Their average risk score is 2.62, 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. Metzger's median patient age at 66, with 41% women.

Medicare patients, 2024169
Average age72
Average risk score2.62
Also on Medicaid15%

Dr. Metzger's Medicare patients by age, 2024

Dr. Metzger's Medicare patients by sex, 2024

  • Women6840%
  • Men10160%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis52%
  4. Ischemic heart disease48%
  5. Chronic kidney disease44%
  6. Mood disorders43%
  7. Diabetes42%
  8. Heart failure42%

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

Dr. Metzger's patients across all payers

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

Patient panel by age, all payers

Median age 66

Patient panel by sex, all payers

  • Women41%
  • Men57%

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

Dr. Brian S. Metzger wrote 421 Medicare Part D claims in 2024

In 2024, Dr. Metzger wrote 421 Medicare Part D claims for 77 patients. 67% of them were for generic drugs. CMS names the drug for 316 of them, across 13 drugs with 11 or more claims each, at $424,767 in total drug cost. In 2023, CMS named 327 claims across 13 drugs.

Part D claims, 2024421
Drugs named by CMS13
Total drug cost$424,767
Part D patients77

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

  • Generic284 claims67%
  • Brand-name137 claims33%

Dr. Metzger'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. Metzger's Part D claims, 2024

  • Antibiotics60%254 of 421 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: 3272024: 3163%

Drugs named by CMS: 13 in 2024, 13 in 2023.

See all prescribing by Dr. Metzger

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 S. Metzger scored 65 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 65 out of 100 for Dr. Metzger for performance year 2024, reported as part of a group. Dr. Metzger accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Metzger as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Metzger's MIPS scores, performance year 2024

  • 65of 100Final score
  • 48of 100Quality
  • 20of 100Improvement Activities
  • 87of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

For MedTech and pharma teams

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Dr. Brian S. Metzger has worked on 2 clinical trials

Dmand AI links Dr. Metzger to 2 clinical trials, 2 of them phase 2 studies. Conditions studied include COVID-19, Staphylococcal Infections and Gram-Positive Bacterial Infections.

Conditions in Dr. Metzger's trials

  • COVID-19
  • Staphylococcal Infections
  • Gram-Positive Bacterial Infections
  • Pneumonia, Viral

Investigators on the most trials with Dr. Metzger

Recent clinical trials with Dr. Metzger

Sources: ClinicalTrials.gov (National Library of Medicine); and Dmand AI Research Linkage

Dr. Brian S. Metzger received $160,087 in industry payments from 2016 to 2025

CMS Open Payments shows 1,077 general payments to Dr. Metzger from 39 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 75% of the total. Allergan Inc. paid the most, $60,052.

General payments to Dr. Metzger by program year, 2016 to 2025

General payments to Dr. Metzger by kind, 2016 to 2025

$160.1Kin total
  • Speaker and faculty fees$119,34075%
  • Food and beverage$23,53215%
  • Consulting fees$6,2554%
  • Compensation for serving as faculty or as a speaker for a medical education program$5,0003%
  • Other$5,9604%

Companies that paid Dr. Metzger the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Metzger

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

Dr. Brian S. Metzger graduated from Medical College of Georgia

Dr. Metzger graduated from Medical College of Georgia in 2003. Dr. Metzger is a member of IDSA and The Society for Healthcare Epidemiology of America.

  1. Medical schoolMedical College of Georgia
  2. Board certified in infectious diseaseAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Brian S. Metzger accepts plans from 24 insurance carriers

Dr. Metzger is in network with 24 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 15. Check the plan with the practice before a visit.

Plan types Dr. Metzger accepts, by number of carriers

  1. PPO15
  2. HMO13
  3. Medicare12
  4. POS7
  5. EPO5

Source: Dmand AI Insurance Network Data

Sources for Dr. Brian S. Metzger'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)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Clinical trials and co-investigatorsClinicalTrials.gov (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 S. Metzger

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 S. Metzger's NPI number?

Dr. Brian S. Metzger's NPI number is 1538306899. It was assigned on January 8, 2009, and it is active in the NPI Registry.

What kind of doctor is Dr. Brian S. Metzger?

Dr. Brian S. Metzger is an infectious disease specialist in Kerrville, Texas. The primary specialty in the NPI Registry is Infectious Disease Physician (taxonomy code 207RI0200X).

Where does Dr. Brian S. Metzger practice?

Dr. Metzger practices at 551 Hill Country Drive, Kerrville, TX 78028. Dr. Metzger's primary practice is Peterson Regional Medical Center in Kerrville, Texas, part of Peterson Health. Dmand AI also links Dr. Metzger to 3 hospitals and 1 group practice or clinic.

What is Dr. Brian S. Metzger's office phone number?

The practice phone on file for Dr. Metzger is (830) 896-4200.

What is Dr. Brian S. Metzger's medical license number?

Dr. Metzger holds Texas license N2660, one of the licenses on file in 2 states.

Which states has Dr. Brian S. Metzger been licensed in?

Dmand AI has state licenses on file for Dr. Metzger in Texas (2009 to 2026) and New York (2004 to 2009).

Which hospitals is Dr. Brian S. Metzger affiliated with?

Dr. Metzger practices at Peterson Regional Medical Center in Kerrville, Texas. Dr. Metzger is also affiliated with St. David's Medical Center. Dmand AI links Dr. Metzger to 3 more hospitals.

What medical group is Dr. Brian S. Metzger part of?

Dr. Metzger is linked to Austin Infectious Disease Consultants.

Does Dr. Brian S. Metzger accept Medicare?

Yes. CMS data shows Dr. Metzger billed Medicare for 545 services in 2024, and Dr. Metzger accepts Medicare assignment.

Does Dr. Brian S. Metzger offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Metzger as offering telehealth services.

Show 10 more questionsShow fewer questions

What is Dr. Brian S. Metzger's MIPS score?

Dr. Metzger's MIPS final score for performance year 2024 is 65 out of 100, reported as part of a group.

How many Medicare patients does Dr. Brian S. Metzger see?

CMS counts 169 Medicare patients who saw Dr. Metzger in 2024, with an average age of 72.

Is Dr. Brian S. Metzger board certified?

Yes. Dr. Metzger is board certified in infectious disease by the American Board of Internal Medicine.

What services does Dr. Brian S. Metzger bill to Medicare?

In 2024, Dr. Metzger's most billed Medicare services were hospital inpatient care (99223), medicare service (G0316) and hospital inpatient care (99233).

Where did Dr. Brian S. Metzger go to medical school?

Dr. Metzger graduated from Medical College of Georgia in 2003.

What drugs does Dr. Brian S. Metzger prescribe most?

In 2024 Medicare Part D data, Dr. Metzger's most prescribed drugs by claims were Biktarvy, Cephalexin and Cefazolin Sodium.

Has Dr. Brian S. Metzger received payments from drug or device companies?

CMS Open Payments shows $160,087 in general payments to Dr. Metzger from 39 companies from 2016 to 2025. The largest total came from Allergan Inc.

How long has Dr. Brian S. Metzger been practicing?

Dr. Metzger graduated from medical school in 2003, 23 years ago.

Does Dr. Brian S. Metzger do research?

Dr. Metzger has worked on 2 clinical trials.

What insurance does Dr. Brian S. Metzger accept?

Dr. Metzger is in network with 24 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. PPO plans come from the most carriers, 15. Check the plan with the practice before a visit.

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