RICHARD J. BREUNER MD
NPI 1245301241
Family Medicine in Seattle, WA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1401 MADISON ST STE 100, SEATTLE, WA 98104(206) 386-6111(206) 386-6113 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard J. Breuner Md NPPES

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

RICHARD J. BREUNER MD (NPI 1245301241) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00027092) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of University Of California, San Diego School Of Medicine (1987).

NPPES Registry Identity

NPI1245301241
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD J. BREUNERCredential: MD
Location Address1401 MADISON ST STE 100Seattle, WA 98104-1316
Mailing AddressPo Box 84026Seattle, WA 98124-8426 · (206) 386-6111
Fax(206) 386-6113
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1987
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 31, 2019
✔ NPI 1245301241 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 WA · MD00027092
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.
Also ListedPediatricsTaxonomy 208000000X · License MD00027092 (WA)
1401 MADISON ST STE 100, Seattle, WA 98104

Other Identifiers 1

Medicaid1245301241WA

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

Richard J. Breuner 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 ID1456243963
PECOS Enrollment IDI20040329000952
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 Reassignments

2

Medicare enrollment records show Richard Breuner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
Multi-Specialty
401 5TH AVE, SUITE 1200
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 94 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.

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Student in an Organized Health Care Education/Training Program
1401 MADISON ST STE 100
SEATTLE, WA 98104
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
Psychologist (Clinical)
1401 MADISON ST STE 100
SEATTLE, WA 98104
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
Family Medicine (Geriatric Medicine)
1401 MADISON ST STE 100
SEATTLE, WA 98104
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
Student in an Organized Health Care Education/Training Program
1401 MADISON ST STE 100
SEATTLE, WA 98104

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 Richard Breuner's NPI number?

The NPI number for Richard Breuner is 1245301241. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Richard Breuner located?

Richard Breuner practices at 1401 Madison St Ste 100, Seattle, WA 98104. The listed phone number is (206) 386-6111.

What is Richard Breuner's specialty?

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

Is Richard Breuner enrolled in Medicare?

Yes. Richard Breuner 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 organizations bill Medicare for Richard Breuner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Breuner reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and King County Finance (Seattle, WA). Each 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 Richard Breuner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Breuner accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Richard Breuner 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 Richard Breuner affiliated with any hospitals?

According to CMS data, Richard Breuner is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Breuner was last updated on January 31, 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.