DR. NATHAN BREAZEALE MD
NPI 1194795062
Orthopaedic Surgery - Sports Medicine in Austin, TX

Q: What is Nathan Breazeale's NPI number?

The NPI number for Nathan Breazeale is 1194795062. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Nathan Breazeale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Breazeale was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 24, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

900 W 38TH ST, SUITE 300, AUSTIN, TX 78705(512) 450-1300(512) 450-1339 Get Directions Write a Review

NPPES record last updated: February 3, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Nathan Breazeale Md NPPES

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

DR. NATHAN BREAZEALE MD (NPI 1194795062) is an individual sports medicine provider in Austin, Texas, licensed in Texas (J1500) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1991).

NPPES Registry Identity

NPI1194795062

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. NATHAN BREAZEALECredential: MD

Location Address900 W 38TH ST, SUITE 300Austin, TX 78705-1130

Mailing Address900 W 38th St, Suite 300Austin, TX 78705-1130 · (512) 450-1300 · Fax (512) 450-1339

Phone(512) 450-1300

Fax(512) 450-1339

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1991

Enumeration DateJanuary 24, 2006

Last NPPES UpdateFebruary 3, 2011

✔ NPI 1194795062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · J1500

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

900 W 38TH ST, Austin, TX 78705

Open in Google Maps ↗

Other Identifiers 5

Medicare NSC1278600001TX

Other1278600001TX · Medicare Supplier Number

Medicare UPING45996TX

Medicare ID-Type Unspecified87172NTX · Medicare

Medicaid102491102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Nathan Breazeale 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 ID2264540848

PECOS Enrollment IDI20110127001123

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 Nathan Breazeale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Austin Sports Medicine LLP

Same address

Sports Medicine

900 W 38TH ST, SUITE 300
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1770553653 (512) 450-1300

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 17

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328

Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.

33,644 services54 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

780 services81 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

373 services51 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

332 services64 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

262 services63 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.

225 services150 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

218 services96 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

121 services101 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.

82 services82 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

71 services67 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

65 services57 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

59 services53 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.

59 services51 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

44 services18 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

33 services29 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.

32 services32 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

15 services13 patients

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.

0/100

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

Individually scored

Quality

Improvement Activities

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.

DIANE DEWAN

Physician Assistant (Medical)

900 W 38TH ST, SUITE 400
AUSTIN, TX 78705

Travis County (512) 454-9426

CENTRAL TEXAS IMAGING GROUP

Radiology (Diagnostic Radiology)

900 W 38TH ST, STE 100
AUSTIN, TX 78705

Travis County (512) 372-9945

AUSTIN SOUTHWEST ORTHOPAEDIC GROUP IMAGING LLC

Clinic/Center (Radiology)

900 W 38TH ST, SUITE 100
AUSTIN, TX 78705

Travis County (512) 501-3840

DR. DOUGLAS ELENZ MD

Orthopaedic Surgery (Sports Medicine)

900 W 38TH ST, SUITE 300
AUSTIN, TX 78705

Travis County (512) 450-1300

ZOE EVELYNN YOUNG

Physical Therapist

900 W 38TH ST
AUSTIN, TX 78705

Travis County (512) 450-1300

UROLOGY SPECIALTY IMAGING LLC

Radiologic Technologist

900 W 38TH ST, SUITE 100
AUSTIN, TX 78705

Travis County (512) 501-3840

THERAPEUTIC DIMENSIONS, PLLC

Pain Medicine (Interventional Pain Medicine)

900 W 38TH ST, SUITE 400
AUSTIN, TX 78705

Travis County (512) 291-7250

PAIN IMAGING PARTNERS LLC

Clinic/Center (Radiology)

900 W 38TH ST, SUITE 100
AUSTIN, TX 78705

Travis County (512) 501-3840

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 Nathan Breazeale's NPI number?

The NPI number for Nathan Breazeale is 1194795062. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Nathan Breazeale located?

Nathan Breazeale practices at 900 W 38th St Suite 300, Austin, TX 78705. The listed phone number is (512) 450-1300.

What is Nathan Breazeale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Nathan Breazeale enrolled in Medicare?

Yes. Nathan Breazeale 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 Nathan Breazeale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Breazeale reassigns Medicare benefits to Austin Sports Medicine LLP (Austin, TX). 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 Nathan Breazeale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Breazeale accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Nathan Breazeale 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.

When was this NPI record last updated?

The NPPES record for Nathan Breazeale was last updated on February 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.