AUTUMN BREUTZMANN DO
NPI 1053052233
Emergency Medicine in Staten Island, NY
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Autumn Breutzmann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Manahawkin, NJ 08050
- Reassigned Medicare billing, New Jersey enrollment
- 239 clinicians in this Medicare group
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 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, NJStaten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician 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.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 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.
Where is Autumn Breutzmann located?
Autumn Breutzmann practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9000.
What is Autumn Breutzmann's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Autumn Breutzmann enrolled in Medicare?
Yes. Autumn Breutzmann 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 Autumn Breutzmann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Breutzmann reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and Barron Emergency Physicians LLC (Manahawkin, NJ). 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 Autumn Breutzmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Autumn Breutzmann affiliated with any hospitals?
According to CMS data, Autumn Breutzmann is affiliated with Jersey Shore University Medical Center and Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Autumn Breutzmann was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Autumn Breutzmann, DO · NPI 1053052233
Emergency Medicine physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1053052233 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 33507301 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 SEAVIEW AVE, Staten Island, NY 10305-3436
- **Phone:** (718) 226-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Barron Emergency Physicians LLC (NPI 1790736940, Manahawkin, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2022
## Record status
- **NPPES last updated:** March 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053052233) · Data from the CMS NPPES public registry.