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ANN LOUISE BREEN
NPI 1285298240
Optometrist in Fargo, ND

Active since April 25, 2019PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
SANFORD SOUTHPOINTE EYE CENTER & OPTICAL, 2400 32ND AVE. S., FARGO, ND 58103(701) 234-3640 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2019, Apr 25, 2019 (2 updates tracked since 2019).

About Ann Louise Breen NPPES

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

ANN LOUISE BREEN (NPI 1285298240) is an individual optometrist in Fargo, North Dakota, licensed in North Dakota (763) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285298240
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANN LOUISE BREEN
Location AddressSANFORD SOUTHPOINTE EYE CENTER & OPTICAL, 2400 32ND AVE. S.Fargo, ND 58103
Mailing AddressPo Box 606Hillsboro, ND 58045-0606 · (701) 430-9898
Phone(701) 234-3640
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 25, 2019
Last NPPES UpdateMarch 28, 20222 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
✔ NPI 1285298240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in ND · 763✔ Licensed in MN · 3619
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
SANFORD SOUTHPOINTE EYE CENTER & OPTICAL, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan and more.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

Ann Louise Breen 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 ID3870821358
PECOS Enrollment IDI20191030000671
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 15

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.

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.
58 services51 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.
35 services31 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.
33 services33 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.
31 services31 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.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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 Ann Breen's NPI number?

The NPI number for Ann Breen is 1285298240. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Ann Breen located?

Ann Breen practices at Sanford Southpointe Eye Center & Optical 2400 32nd Ave. S., Fargo, ND 58103. The listed phone number is (701) 234-3640.

What is Ann Breen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ann Breen enrolled in Medicare?

Yes. Ann Breen 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 Ann Breen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Providence Health Plan, Sanford Health Plan and Security Health Plan list Ann Breen 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 Ann Breen affiliated with any hospitals?

According to CMS data, Ann Breen is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Ann Breen was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.