BREANA LEIGH FELLINGER DO
NPI 1184129009
Family Medicine in New London, WI

Active since March 25, 2018PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
1420 ALGOMA ST, NEW LONDON, WI 54961(920) 982-8300 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 18, 2021, Mar 25, 2018 (2 updates tracked since 2018).

About Breana Leigh Fellinger Do NPPES

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

BREANA LEIGH FELLINGER DO (NPI 1184129009) is an individual family medicine provider in New London, Wisconsin, licensed in Wisconsin (73457) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184129009
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBREANA LEIGH FELLINGERCredential: DO
Location Address1420 ALGOMA STNew London, WI 54961-2104
Mailing Address1420 Algoma StNew London, WI 54961-2104 · (920) 982-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 25, 2018
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1184129009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 73457
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.
1420 ALGOMA ST, New London, WI 54961

Accepted 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

Breana Leigh Fellinger 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 ID1557788676
PECOS Enrollment IDI20210928002084
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 Breana Fellinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 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.

Areas of Expertise CMS Part B claims 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
131 services70 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.
127 services81 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.
84 services60 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.
68 services68 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.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - New London

Critical Access Hospitals · New London, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521326
Location1405 Mill StNew London, WI 54961 · Waupaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1420 ALGOMA ST
NEW LONDON, WI 54961
Clinic/Center
1420 ALGOMA ST
NEW LONDON, WI 54961
Durable Medical Equipment & Medical Supplies
1420 ALGOMA ST
NEW LONDON, WI 54961
Family Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Durable Medical Equipment & Medical Supplies
1420 ALGOMA ST
NEW LONDON, WI 54961
Internal Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Family Medicine
1420 ALGOMA ST
NEW LONDON, WI 54961
Nurse Practitioner
1420 ALGOMA ST
NEW LONDON, WI 54961

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 Breana Fellinger's NPI number?

The NPI number for Breana Fellinger is 1184129009. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Breana Fellinger located?

Breana Fellinger practices at 1420 Algoma St, New London, WI 54961. The listed phone number is (920) 982-8300.

What is Breana Fellinger's specialty?

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

Is Breana Fellinger enrolled in Medicare?

Yes. Breana Fellinger 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 Breana Fellinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breana Fellinger reassigns Medicare benefits to Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). 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 Breana Fellinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breana Fellinger accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Breana Fellinger 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 Breana Fellinger affiliated with any hospitals?

According to CMS data, Breana Fellinger is affiliated with Ascension NE Wisconsin - St Elizabeth Campus and Thedacare Medical Center - New London.

When was this NPI record last updated?

The NPPES record for Breana Fellinger was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.