DR. AUDRIUS J BREDIKIS M.D. NPI 1013091784
Internal Medicine - Clinical Cardiac Electrophysiology in Melbourne, FL

About DR. AUDRIUS J BREDIKIS M.D.

Audrius Bredikis is an internist established in Melbourne, Florida and his medical specialization is Internal Medicine with a focus in clinical cardiac electrophysiology with more than 38 years of experience. The NPI number of Audrius Bredikis is 1013091784 and was assigned on October 2006. The practitioner's primary taxonomy code is 207RC0001X with license number ME101399 (FL). The provider is registered as an individual and his NPI record was last updated October 2022.

NPI
1013091784
Provider NameDR. AUDRIUS J BREDIKIS M.D.
Location Address1223 GATEWAY DR STE 2E MELBOURNE, FL 32901
Location Phone(321) 361-5564
Mailing Address3300 S FISKE BLVD ROCKLEDGE, FL 32955
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1985
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date10-28-2022

An internist like Dr. Audrius J Bredikis M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Audrius Bredikis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Audrius Bredikis is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Holmes Regional Medical Center and Viera Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.7, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: chronic care and preventative care management for empaneled patients, implementation of medication management practice improvements, measurement and improvement at the practice and panel level and use of decision support and standardized treatment protocols.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207RC0001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationClinical Cardiac Electrophysiology
License No.ME101399
License StateFL
Taxonomy DescriptionA field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. AUDRIUS J BREDIKIS M.D.
1223 GATEWAY DR STE 2E
MELBOURNE, FL
ZIP 32901
Phone: (321) 361-5564
Fax: (321) 956-2542

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Mailing Address

DR. AUDRIUS J BREDIKIS M.D.
3300 S FISKE BLVD
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 361-5564


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7416987508
PECOS Enrollment IDI20080806000278
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32901 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $135.26
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $33.81
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $103.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $25.94

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 87
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 97
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 76.4
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 91.7
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:-   Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;-   Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;-   Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;-   Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;-   Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 306Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 96Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • 27Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)
  • 27Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93284)
  • 15Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes (HCPCS:33208)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseME101399FLNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PP895OTHER (01)FLMEDICARE HF
0035855700MEDICAID (05)FL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013091784
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 7 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013091784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245221910 STEVEN P KARAS MD
Individual
Internal Medicine (Interventional Cardiology)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3494
1053322461MR. CHARLES W JONES PA
Individual
Physician Assistant (Medical)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3490
1477533784 KELLY A MURPHY ARNP
Individual
Nurse Practitioner (Family)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3495
1669440632DR. ALEXIES RAMIREZ MD
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 361-5564
1851740294 APRIL BRANLY A.R.N.P.
Individual
Nurse Practitioner (Family)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3490
1891021119 ALLYSIA R ARTIS M.S, ANP-BC
Individual
Nurse Practitioner (Adult Health)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3494
1013683671 TIFFANI DAVIDSON APRN, DNP
Individual
Nurse Practitioner1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 361-5564
1457336984 NORBERTO S SCHECHTMANN MD
Individual
Internal Medicine (Cardiovascular Disease)1223 GATEWAY DR STE 2E
MELBOURNE, FL 32901
(321) 312-3493

Frequently Asked Questions

What is Dr. Audrius Bredikis M.D. NPI number?

The NPI number assigned to Dr. Audrius Bredikis M.D. is 1013091784, registered as an "individual" on October 25, 2006

Where is Dr. Audrius Bredikis M.D. located?

The provider is located at 1223 Gateway Dr Ste 2e Melbourne, Fl 32901 and the phone number is (321) 361-5564

Which is Dr. Audrius Bredikis M.D. specialty?

The provider's speciality is Internal Medicine with a focus in Clinical Cardiac Electrophysiology

How many years of experience does Dr. Audrius Bredikis M.D. have?

The provider has more than 38 years of experience.

What insurance does Dr. Audrius Bredikis M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Audrius Bredikis M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Audrius Bredikis M.D.?

Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Audrius Bredikis M.D.?

The most common procedures or services performed by this practitioner are: Routine EKG using at least 12 leads including interpretation and report, Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report, Evaluation, testing and programming adjustment of defibrillator with analysis, review and report, Evaluation, testing and programming adjustment of defibrillator with analysis, review and report and Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes.

How do I update my NPI information?

The NPI record of Dr. Audrius Bredikis M.D. was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]