DR. ANDREW MACKAY BREIVIK MD
NPI 1255893426
Hospitalist in Provo, UT

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2022, May 23, 2022, Apr 4, 2019 (3 updates tracked since 2019).

About Dr. Andrew Mackay Breivik Md NPPES

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

DR. ANDREW MACKAY BREIVIK MD (NPI 1255893426) is an individual hospitalist provider in Provo, Utah, licensed in Utah (12751732-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (2019).

NPPES Registry Identity

NPI1255893426
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANDREW MACKAY BREIVIKCredential: MD
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7291
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1255893426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in UT · 12751732-1205
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0067961 (CO), 12751732-1205 (UT)
1034 N 500 W, Provo, UT 84604

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. Andrew Mackay Breivik 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 ID1456731637
PECOS Enrollment IDI20220706000646, I20221206003498
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 Andrew Breivik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1034 N 500 W
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
Emergency Care
1906 BLAKE AVE
Glenwood Springs, CO 81601
  • Reassigned Medicare billing, Colorado enrollment
  • 96 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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services142 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
77 services76 patients

Hospital Affiliations CMS Care Compare 4

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460026
Location1000 North Main StreetRichfield, UT 84701 · Sevier County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Hospitalist
1034 N 500 W
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604

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 Breivik's NPI number?

The NPI number for Andrew Breivik is 1255893426. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Andrew Breivik located?

Andrew Breivik practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7291.

What is Andrew Breivik's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Breivik enrolled in Medicare?

Yes. Andrew Breivik 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 Andrew Breivik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Breivik reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Provo, UT) and Valley View Hospital Association (Glenwood Springs, CO). 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 Andrew Breivik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Breivik affiliated with any hospitals?

According to CMS data, Andrew Breivik is affiliated with Utah Valley Hospital, American Fork Hospital, Sevier Valley Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Breivik was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.