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WILLIAM R. BREEDING M.D.
NPI 1194043653
Emergency Medicine in Kettering, OH

Active since May 08, 2010PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2019, Mar 13, 2019 (2 updates tracked since 2019).

About William R. Breeding M.d. NPPES

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

WILLIAM R. BREEDING M.D. (NPI 1194043653) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (35.121469) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1194043653
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameWILLIAM R. BREEDINGCredential: M.D.
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 436-4658 · Fax (937) 436-4984
Phone(937) 395-8166
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010
Enumeration DateMay 8, 2010
Last NPPES UpdateJuly 16, 20192 updates tracked since enumeration
✔ NPI 1194043653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35.121469✔ Licensed in KY · R2427
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3535 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 10

Location 14000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 436-4658
Location 28701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 436-4658
Location 31141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 436-4658
Location 43535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 436-4658
Location 56147 State Route 122Middletown, OH 45005-5201 · Phone (937) 436-4658
Location 6450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 436-4658
Location 7405 W Grand AveDayton, OH 45405-7538 · Phone (937) 436-4658
Location 81997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 436-4658
Location 9100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 436-4658
Location 10600 W Main StTroy, OH 45373-2928 · Phone (937) 980-7010 · Fax (937) 980-7019

Other Identifiers 1

Medicaid0089013OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

William R. 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 ID6901049626
PECOS Enrollment IDI20130828000766
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
98 services93 patients
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.
59 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
41 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 William Breeding's NPI number?

The NPI number for William Breeding is 1194043653. It was assigned to this individual provider in the NPPES registry on May 8, 2010.

Where is William Breeding located?

William Breeding practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is William Breeding's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is William Breeding enrolled in Medicare?

Yes. William 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.

What insurance does William Breeding accept?

Health plans from CareSource and Molina Healthcare list William 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 William Breeding affiliated with any hospitals?

According to CMS data, William Breeding is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for William Breeding was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.