1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Psychiatry Neurology
  6. NPI Profile

ANDREW BREITHAUPT MD
NPI 1225494230
Psychiatry & Neurology - Neurology in Atlanta, GA

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329(404) 712-2881 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Breithaupt Md NPPES

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

ANDREW BREITHAUPT MD (NPI 1225494230) is an individual neurology provider in Atlanta, Georgia, licensed in Georgia (101537) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2018).

NPPES Registry Identity

NPI1225494230
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameANDREW BREITHAUPTCredential: MD
Location Address12 EXECUTIVE PARK DR NEAtlanta, GA 30329-2206
Mailing Address6 Executive Park Dr Ne Ste 200Atlanta, GA 30329-2224 · (919) 260-4882
Phone(404) 712-2881
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2018
Enumeration DateJanuary 6, 2016
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1225494230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 101537
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
12 EXECUTIVE PARK DR NE, Atlanta, GA 30329
Open in Google Maps ↗

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

Andrew Breithaupt 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 ID4981640638
PECOS Enrollment IDI20241112004146
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 3

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
55 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30329 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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.

DR. PEARL VICTORIA RYDER M.D., PH.D.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
CHRISTI N ACKER DPT, PT
Physical Therapist (Neurology)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-7777
ORLA MCQUADE FNP-C
Nurse Practitioner (Family)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444
MEGAN LEIGH GOODLIN LCSW
Social Worker (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (850) 591-6066
PETER ASH MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE, CHILD PSYCHIATRY, SUITE 200
ATLANTA, GA 30329
Dekalb County (404) 727-3973
KELSEY R SPRANG JONES PSYD
Psychologist (Clinical)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (859) 433-5348
BRANDI ANNE BURKE M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
12 EXECUTIVE PARK DR NE, SUITE 331
ATLANTA, GA 30329
Dekalb County (404) 727-5159
ROCIO CAROLINA GARCIA SANTIBANEZ M.D.
Psychiatry & Neurology (Neuromuscular Medicine)
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329
Dekalb County (404) 778-3444

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 Andrew Breithaupt's NPI number?

The NPI number for Andrew Breithaupt is 1225494230. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Andrew Breithaupt located?

Andrew Breithaupt practices at 12 Executive Park Dr NE, Atlanta, GA 30329. The listed phone number is (404) 712-2881.

What is Andrew Breithaupt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrew Breithaupt enrolled in Medicare?

Yes. Andrew Breithaupt 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.

Is Andrew Breithaupt affiliated with any hospitals?

According to CMS data, Andrew Breithaupt is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Breithaupt was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.