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TODD F BREAUX M.D.
NPI 1013983915
Urology in Akron, OH

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
95 ARCH ST, SUITE 165, AKRON, OH 44304(330) 375-4848(330) 376-4066 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Todd F Breaux M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD F BREAUX M.D. (NPI 1013983915) is an individual urology provider in Akron, Ohio, licensed in Ohio (35.078667B) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1998).

NPPES Registry Identity

NPI1013983915
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTODD F BREAUXCredential: M.D.
Location Address95 ARCH ST, SUITE 165Akron, OH 44304-1437
Mailing Address320 W Exchange StAkron, OH 44302-1709 · (330) 535-4428 · Fax (330) 535-4451
Phone(330) 375-4848
Fax(330) 376-4066
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1998
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJanuary 25, 2013
✔ NPI 1013983915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35.078667B
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

95 ARCH ST, Akron, OH 44304
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Other Identifiers 6

Medicare UPINH84042
Other1841239274OH · Partners Physician Group Type 2 Npi #
Other9338635OH · Partners Physician Group Medicare Group #
Other2551671OH · Partners Physician Group Medicaid Group #
Medicare PIN4106756OH
Medicaid2413767OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Todd F Breaux M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163315052
PECOS Enrollment IDI20040204000894
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
274 services245 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
145 services120 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
82 services68 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Biopsy of bladder using an endoscope 52204
A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.
21 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Lodi Community Hospital

Critical Access Hospitals · Lodi, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361303
Location225 Elyria StreetLodi, OH 44254 · Medina County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers12 claims2,010 services$1.50 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers13 claims3,705 services$5.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMA PHYSICIANS LLC
Internal Medicine (Hospice and Palliative Medicine)
95 ARCH ST
AKRON, OH 44304
Summit County (330) 375-3039
DR. MICHAEL A PELINI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
95 ARCH ST, STE 300
AKRON, OH 44304
Summit County (330) 376-7000
DAVID M NASH M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
95 ARCH ST, STE 250
AKRON, OH 44304
Summit County (330) 375-7722
STEPHEN W FANNIN MD FACC
Internal Medicine (Cardiovascular Disease)
95 ARCH ST
AKRON, OH 44304
Summit County (330) 376-7000
JOHN D WEGRYN M.D.
Urology
95 ARCH ST, SUITE 165
AKRON, OH 44304
Summit County (330) 375-4848
JOSEPH D REDLE MD FACC
Internal Medicine (Cardiovascular Disease)
95 ARCH ST
AKRON, OH 44304
Summit County (330) 376-7000
MICHELE M HANNAN C.N.P.
Nurse Practitioner
95 ARCH ST
AKRON, OH 44304
Summit County (330) 376-7000
MRS. CHRISTINA ANGELINA MERCHANT MSN, RN, NP-C
Nurse Practitioner
95 ARCH ST, SUITE 300
AKRON, OH 44304
Summit County (330) 376-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Breaux's NPI number?

The NPI number for Todd Breaux is 1013983915. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Todd Breaux located?

Todd Breaux practices at 95 Arch St Suite 165, Akron, OH 44304. The listed phone number is (330) 375-4848.

What is Todd Breaux's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Todd Breaux enrolled in Medicare?

Yes. Todd Breaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Todd Breaux accept?

Health plans from CareSource and Oscar Insurance Corporation of Ohio list Todd Breaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Todd Breaux affiliated with any hospitals?

According to CMS data, Todd Breaux is affiliated with Akron General Medical Center, Mercy Medical Center, Medina Hospital, Cleveland Clinic and Lodi Community Hospital.

When was this NPI record last updated?

The NPPES record for Todd Breaux was last updated on January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.