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ANDREA CATHERINE BREAUX
NPI 1033504873
Pathology - Anatomic Pathology & Clinical Pathology in Louisville, KY

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
231 E CHESTNUT ST STE 260, LOUISVILLE, KY 40202(502) 456-6217(502) 456-4440 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2023, Jun 1, 2021, Aug 30, 2016 (3 updates tracked since 2016).

About Andrea Catherine Breaux NPPES

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

ANDREA CATHERINE BREAUX (NPI 1033504873) is an individual anatomic pathology & clinical pathology provider in Louisville, Kentucky, licensed in Kentucky (55170) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (2015).

NPPES Registry Identity

NPI1033504873
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameANDREA CATHERINE BREAUX
Location Address231 E CHESTNUT ST STE 260Louisville, KY 40202-1821
Mailing Address1941 Bishop Ln Ste 1018Louisville, KY 40218-1928 · (502) 456-6217 · Fax (502) 456-4440
Phone(502) 456-6217
Fax(502) 456-4440
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1033504873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in KY · 55170
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Pediatric PathologyTaxonomy 207ZP0213X · License 57.250364 (OH)
231 E CHESTNUT ST STE 260, Louisville, KY 40202
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Catherine Breaux 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 ID9931409489
PECOS Enrollment IDI20250620000073
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Breaux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric And Perinatal Pathology Associates Psc
0.3 mi
Anatomic Pathology & Clinical Pathology
231 E CHESTNUT ST, PATHOLOGY DEPT
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 6 clinicians in this Medicare group
NPI 1659306504 (502) 456-6212
Children's Hospital Medical Center
92 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Breaux's NPI number?

The NPI number for Andrea Breaux is 1033504873. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Andrea Breaux located?

Andrea Breaux practices at 231 E Chestnut St Ste 260, Louisville, KY 40202. The listed phone number is (502) 456-6217.

What is Andrea Breaux's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Andrea Breaux enrolled in Medicare?

Yes. Andrea 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.

Which organizations bill Medicare for Andrea Breaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Breaux reassigns Medicare benefits to 2 organizations: Pediatric And Perinatal Pathology Associates Psc (Louisville, KY) and Children's Hospital Medical Center (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Breaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Breaux accept?

Health plans from CareSource list Andrea 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 Andrea Breaux affiliated with any hospitals?

According to CMS data, Andrea Breaux is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Andrea Breaux was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.