DR. WILLIAM L BRECKWOLDT III M.D.
NPI 1306814272
Surgery - Vascular Surgery in Winchester, MA

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
955 MAIN STREET, SUITE G2A, WINCHESTER, MA 01890(781) 729-2020(781) 729-6846 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William L Breckwoldt Iii M.d. NPPES

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

DR. WILLIAM L BRECKWOLDT III M.D. (NPI 1306814272) is an individual vascular surgery provider in Winchester, Massachusetts, licensed in Massachusetts (70797) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of University Of Michigan Medical School (1984).

NPPES Registry Identity

NPI1306814272
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. WILLIAM L BRECKWOLDT IIICredential: M.D.
Location Address955 MAIN STREET, SUITE G2AWinchester, MA 01890-1961
Mailing Address955 Main St, Suite G2aWinchester, MA 01890-1961 · (781) 729-2020 · Fax (781) 729-6846
Fax(781) 729-6846
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1984
Enumeration DateMarch 8, 2006
Last NPPES UpdateFebruary 28, 2020
NPI 1306814272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in MA · 70797
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSpecialistTaxonomy 174400000X · License 70797 (MA)
Also ListedSurgeryTaxonomy 208600000X · License 70797 (MA)
955 MAIN STREET, Winchester, MA 01890

Other Identifiers 1

Medicaid3053318MA

Accepted 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. William L Breckwoldt Iii M.d. 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 ID8527085463
PECOS Enrollment IDI20051029000068
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 24

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.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
435 services28 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
330 services112 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
161 services154 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.
155 services118 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.
129 services84 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
119 services116 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01890 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims620 services$0.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
4 suppliers21 claims603 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims331 services$2.35 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers24 claims1,432 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers17 claims1,829 services$0.38 avg. paid by Medicare
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims1,920 services$1.69 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 4

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

Pediatrics
955 MAIN STREET, PEDIATRICIANS INC
WINCHESTER, MA 01890
Internal Medicine
955 MAIN STREET, SUITE 302
WINCHESTER, MA 01890
Occupational Therapist
955 MAIN STREET, SUITE #G5
WINCHESTER, MA 01890
Internal Medicine (Cardiovascular Disease)
955 MAIN STREET, SUITE 300
WINCHESTER, MA 01890

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 William Breckwoldt's NPI number?

The NPI number for William Breckwoldt is 1306814272. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is William Breckwoldt located?

William Breckwoldt practices at 955 Main Street Suite G2a, Winchester, MA 01890. The listed phone number is (781) 729-2020.

What is William Breckwoldt's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is William Breckwoldt enrolled in Medicare?

Yes. William Breckwoldt 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 William Breckwoldt accept?

Health plans from Anthem Blue Cross and Blue Shield list William Breckwoldt 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 William Breckwoldt affiliated with any hospitals?

According to CMS data, William Breckwoldt is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for William Breckwoldt was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.