LARRY T BREEDING M.D.
NPI 1154354033
Internal Medicine - Cardiovascular Disease in Kingsport, TN

Q: What is Larry Breeding's NPI number?

The NPI number for Larry Breeding is 1154354033. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Larry Breeding's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Breeding was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

2205 PAVILION DR, SUITE 201, KINGSPORT, TN 37660(423) 857-7650(423) 857-7655 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Larry T Breeding M.d. NPPES

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

LARRY T BREEDING M.D. (NPI 1154354033) is an individual cardiovascular disease provider in Kingsport, Tennessee, licensed in Tennessee (34198) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (1992).

NPPES Registry Identity

NPI1154354033

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameLARRY T BREEDINGCredential: M.D.

Location Address2205 PAVILION DR, SUITE 201Kingsport, TN 37660-4641

Mailing Address2205 Pavilion Dr, Suite 201Kingsport, TN 37660-4641 · (423) 857-7650 · Fax (423) 857-7655

Phone(423) 857-7650

Fax(423) 857-7655

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1992

Enumeration DateJuly 7, 2006

Last NPPES UpdateJuly 28, 2015

✔ NPI 1154354033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in TN · 34198✔ Licensed in KY · 29754✔ Licensed in VA · 0101247081

Definition

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.

2205 PAVILION DR, Kingsport, TN 37660

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Other Identifiers 3

Medicaid6404087600KY

Medicaid3854776TN

Medicare PIN103I069687TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

Larry T Breeding 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 ID7618045923

PECOS Enrollment IDI20100329000438

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 Reassignment

Medicare enrollment records show Larry Breeding reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Medical Group Inc

147 mi

Nurse Practitioner

4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1518360296 (859) 260-4390

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

Areas of Expertise CMS Part B claims 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

140 services128 patients

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.

115 services108 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

100 services99 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services64 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.

65 services57 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

43 services43 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

39 services38 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

28 services28 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

28 services28 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

27 services27 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services17 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

19 services19 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.

19 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

17 services16 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

16 services16 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

16 services16 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.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Saint Joseph Berea

Critical Access Hospitals · Berea, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181329

Location305 Estill StreetBerea, KY 40403 · Madison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2205 PAVILION DR, SUITE 102
KINGSPORT, TN 37660

Sullivan County (423) 929-7393

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Pulmonary Disease)

2205 PAVILION DR, SUITE 201B
KINGSPORT, TN 37660

Sullivan County (423) 857-7650

DARYL WAYNE PIERCE MD

Internal Medicine (Hematology & Oncology)

2205 PAVILION DR, SUITE 101
KINGSPORT, TN 37660

Sullivan County (423) 857-6466

SHANNON JONES ACNP

Nurse Practitioner (Acute Care)

2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660

Sullivan County (423) 857-7650

PAUL ANDREW LEE PA

Physician Assistant

2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660

Sullivan County (423) 857-7650

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Cardiovascular Disease)

2205 PAVILION DR, SUITE 201
KINGSPORT, TN 37660

Sullivan County (423) 857-7650

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Internal Medicine (Hematology & Oncology)

2205 PAVILION DR, SUITE 101
KINGSPORT, TN 37660

Sullivan County (423) 857-6466

KELLY M HARE F.N.P.

Nurse Practitioner

2205 PAVILION DR, SUITE 201B
KINGSPORT, TN 37660

Sullivan County (423) 857-7650

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 Larry Breeding's NPI number?

The NPI number for Larry Breeding is 1154354033. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Larry Breeding located?

Larry Breeding practices at 2205 Pavilion Dr Suite 201, Kingsport, TN 37660. The listed phone number is (423) 857-7650.

What is Larry Breeding's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Larry Breeding enrolled in Medicare?

Yes. Larry Breeding 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 organization bills Medicare for Larry Breeding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Breeding reassigns Medicare benefits to Baptist Health Medical Group Inc (Lexington, KY). The 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 Larry Breeding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Breeding accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Larry Breeding 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 Larry Breeding affiliated with any hospitals?

According to CMS data, Larry Breeding is affiliated with Saint Joseph Hospital, Baptist Health Richmond, Baptist Health Lexington and Saint Joseph Berea.

When was this NPI record last updated?

The NPPES record for Larry Breeding was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.