AUTUMN BREUTZMANN DO
NPI 1053052233
Emergency Medicine in Staten Island, NY

Q: What is Autumn Breutzmann's NPI number?

The NPI number for Autumn Breutzmann is 1053052233. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Autumn Breutzmann's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Breutzmann was last updated on March 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

475 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 226-9000 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2025, Apr 5, 2022 (2 updates tracked since 2022).

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About Autumn Breutzmann Do NPPES

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

AUTUMN BREUTZMANN DO (NPI 1053052233) is an individual emergency medicine provider in Staten Island, New York, licensed in New York (33507301) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2022).

NPPES Registry Identity

NPI1053052233

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAUTUMN BREUTZMANNCredential: DO

Location Address475 SEAVIEW AVEStaten Island, NY 10305-3436

Mailing Address155 Delaware AveStaten Island, NY 10304-3926

Phone(718) 226-9000

Sole ProprietorNo

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateMarch 22, 20252 updates tracked since enumeration

NPPES CertifiedMarch 22, 2025

✔ NPI 1053052233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 33507301

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

475 SEAVIEW AVE, Staten Island, NY 10305

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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

Autumn Breutzmann Do 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 ID1153847843

PECOS Enrollment IDI20250425000089, I20250709001981

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.

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310073

Location1945 State Route 33Neptune, NJ 07753 · Monmouth County

Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330160

Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

MRS. DAWN MARIE COTTONE RPA-C

Physician Assistant (Surgical)