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DR. BRETT LYNN HUTCHERSON D.O.
NPI 1265871750
Family Medicine in Breese, IL

Active since June 18, 2013PECOS EnrolledAccepts Medicare Assignment
73.88/100
CMS Quality Rating
9401 HOLY CROSS LN, BREESE, IL 62230(618) 526-7271(618) 526-7313 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Jun 28, 2021, Apr 17, 2018 (3 updates tracked since 2018).

About Dr. Brett Lynn Hutcherson D.o. NPPES

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

DR. BRETT LYNN HUTCHERSON D.O. (NPI 1265871750) is an individual family medicine provider in Breese, Illinois, licensed in Illinois (036140775) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Red Bud.

NPPES Registry Identity

NPI1265871750
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRETT LYNN HUTCHERSONCredential: D.O.
Location Address9401 HOLY CROSS LNBreese, IL 62230-3510
Mailing Address9401 Holy Cross LnBreese, IL 62230-3510 · (618) 526-7271 · Fax (618) 526-7313
Phone(618) 526-7271
Fax(618) 526-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 18, 2013
Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1265871750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036140775
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 ListedEmergency MedicineTaxonomy 207P00000X · License 036140775 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 036140775 (IL)
9401 HOLY CROSS LN, Breese, IL 62230
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Secondary Practice Location 1

Location 1325 Spring StreetRed Bud, IL 62278 · Phone (618) 282-3831 · Fax (618) 282-5476

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Brett Lynn Hutcherson D.o. 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 ID8224330634
PECOS Enrollment IDI20161207000210
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services43 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.
70 services60 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services36 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
19 services19 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

Reported Quality Measures

e-Prescribing
100%1,300 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
48%397 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$13.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers18 claims19 services$8.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers30 claims30 services$94.75 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$15.99 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$8.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCH ANDRE LEFEBVRE M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DOUGLAS M. KUHL M.D.
Pediatrics
9401 HOLY CROSS LN, SUITE 112B
BREESE, IL 62230
Clinton County (618) 526-7271
AMY KATHLEEN KRAUSE PA
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
JONATHAN VAUGHN OSBORN M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
MRS. AMBER LEIGH POETTKER PA-C
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
KATLYN HILMES
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
FRED CHARLES BOCH LCSW
Social Worker (Clinical)
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DENNIS JOSEPH RIECHMAN FNP-BC
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271

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 Brett Hutcherson's NPI number?

The NPI number for Brett Hutcherson is 1265871750. It was assigned to this individual provider in the NPPES registry on June 18, 2013.

Where is Brett Hutcherson located?

Brett Hutcherson practices at 9401 Holy Cross Ln, Breese, IL 62230. The listed phone number is (618) 526-7271.

What is Brett Hutcherson's specialty?

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

Is Brett Hutcherson enrolled in Medicare?

Yes. Brett Hutcherson 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 Brett Hutcherson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Brett Hutcherson 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 Brett Hutcherson affiliated with any hospitals?

According to CMS data, Brett Hutcherson is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital and Red Bud Regional Hospital.

When was this NPI record last updated?

The NPPES record for Brett Hutcherson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.