MRS. BREANNA TETREAULT DO
NPI 1164085536
Family Medicine in Berkeley, CA

Q: What is Breanna Tetreault's NPI number?

The NPI number for Breanna Tetreault is 1164085536. It was assigned to this individual provider in the NPPES registry on April 20, 2019.

Q: What is Breanna Tetreault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Tetreault was last updated on September 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2019PECOS EnrolledAccepts Medicare Assignment

3100 SAN PABLO AVE STE 310, BERKELEY, CA 94702(510) 985-5000(510) 985-5002 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 22, 2022, Apr 20, 2019 (2 updates tracked since 2019).

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About Mrs. Breanna Tetreault Do NPPES

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

MRS. BREANNA TETREAULT DO (NPI 1164085536) is an individual family medicine provider in Berkeley, California, licensed in California (20A20241) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164085536

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMRS. BREANNA TETREAULTCredential: DO

Location Address3100 SAN PABLO AVE STE 310Berkeley, CA 94702-2498

Mailing Address1450 Treat Blvd Ste 300Walnut Creek, CA 94597-2168 · (925) 952-2828

Phone(510) 985-5000

Fax(510) 985-5002

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 20, 2019

Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2022

✔ NPI 1164085536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A20241

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3100 SAN PABLO AVE STE 310, Berkeley, CA 94702

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Secondary Practice Location 1

Location 13569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5781 · Phone (707) 583-8800

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

Mrs. Breanna Tetreault 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 ID8426434903

PECOS Enrollment IDI20221006002295

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 6

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 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.

262 services149 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

76 services76 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.

73 services66 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.

23 services23 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.

18 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94702 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

Other Providers at the Same Location NPPES 6

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

DR. FRANCINE ANN YEP MD

Family Medicine