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MATTHEW BREEDEN MD
NPI 1184982084
Family Medicine in Saint Louis, MO

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1034 S BRENTWOOD BLVD, SUITE 1120, SAINT LOUIS, MO 63117(314) 977-4600(314) 726-1653 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2021, Apr 18, 2017 (2 updates tracked since 2017).

About Matthew Breeden Md NPPES

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

MATTHEW BREEDEN MD (NPI 1184982084) is an individual family medicine provider in Saint Louis, Missouri, licensed in Missouri (2015013277) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2012).

NPPES Registry Identity

NPI1184982084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW BREEDENCredential: MD
Location Address1034 S BRENTWOOD BLVD, SUITE 1120Saint Louis, MO 63117-1223
Mailing Address1034 S Brentwood Blvd, Suite 1120Saint Louis, MO 63117-1223 · (314) 977-4600 · Fax (314) 726-1653
Phone(314) 977-4600
Fax(314) 726-1653
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1184982084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2015013277
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.
1034 S BRENTWOOD BLVD, Saint Louis, MO 63117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Matthew Breeden Md 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 ID749405363
PECOS Enrollment IDI20150706002602
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 4

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.
61 services37 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.
36 services30 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.
24 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

ANJALI VASWANI LMSW
Social Worker (Clinical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
St. Louis County (818) 857-7506
MEGHAN BLUM LINDEN PA-C
Physician Assistant (Medical)
1034 S BRENTWOOD BLVD, SUITE 1120
SAINT LOUIS, MO 63117
St. Louis County (314) 977-4600
KAREN M GREGORY APRN BC
Clinical Nurse Specialist (Medical-Surgical)
1034 S BRENTWOOD BLVD
SAINT LOUIS, MO 63117
St. Louis County (314) 779-4730
BRYAN WARNER MD PC
Specialist
1034 S BRENTWOOD BLVD, SUITE 516
SAINT LOUIS, MO 63117
St. Louis County (877) 445-9050
CLINICAL NEUROLOGY, INC
Psychiatry & Neurology (Neurology)
1034 S BRENTWOOD BLVD, SUITE 660
SAINT LOUIS, MO 63117
St. Louis County (314) 725-1522
DR. PETER A HUESEMAN R.PH., P.D.
Pharmacist
1034 S BRENTWOOD BLVD, SUITE 102
SAINT LOUIS, MO 63117
St. Louis County (314) 727-8787
OB-GYN ASSOCIATES,INC
Obstetrics & Gynecology
1034 S BRENTWOOD BLVD, SUITE 946
SAINT LOUIS, MO 63117
St. Louis County (314) 725-9300
CATHERINE NKONGE
Counselor (Professional)
1034 S BRENTWOOD BLVD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 566-5002

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 Matthew Breeden's NPI number?

The NPI number for Matthew Breeden is 1184982084. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Matthew Breeden located?

Matthew Breeden practices at 1034 S Brentwood Blvd Suite 1120, Saint Louis, MO 63117. The listed phone number is (314) 977-4600.

What is Matthew Breeden's specialty?

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

Is Matthew Breeden enrolled in Medicare?

Yes. Matthew Breeden 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.

What insurance does Matthew Breeden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Matthew Breeden 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 Matthew Breeden affiliated with any hospitals?

According to CMS data, Matthew Breeden is affiliated with Mercy Hospital St Louis, Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Breeden was last updated on January 13, 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.