MICHAEL P BREEN MD
NPI 1346235801
Radiology - Diagnostic Radiology in Gainesville, FL

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605(352) 331-9729(352) 331-0136 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael P Breen Md NPPES

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

MICHAEL P BREEN MD (NPI 1346235801) is an individual diagnostic radiology provider in Gainesville, Florida, licensed in Florida (ME88652) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1346235801
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL P BREENCredential: MD
Location Address6716 NW 11TH PL STE 200Gainesville, FL 32605-4201
Mailing Address6716 Nw 11th Pl Ste 200Gainesville, FL 32605-4201 · (352) 331-9729 · Fax (352) 331-0136
Fax(352) 331-0136
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 12, 2005
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1346235801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME88652✔ Licensed in PA · MD060346L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License ME88652 (FL)
6716 NW 11TH PL STE 200, Gainesville, FL 32605

Other Identifiers 2

Medicaid00016217410009PA
Medicaid005970900FL

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

Michael P Breen 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 ID7113812306
PECOS Enrollment IDI20070905000089, I20120614000279, I20240108004157, I20260507001881
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

8

Medicare enrollment records show Michael Breen reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
6716 NW 11TH PL STE 200
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
Diagnostic Radiology
6716 NW 11TH PL STE 200
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida and North Carolina enrollments
  • 32 clinicians in this Medicare group
Body Imaging
6605 NW 9TH BLVD
Gainesville, FL 32605
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,130 clinicians in this Medicare group
Urology
1317 W POINT DR
Cocoa, FL 32922
  • Reassigned Medicare billing, Florida enrollment
  • 254 clinicians in this Medicare group
Diagnostic Radiology
2602 BUFORD RD
Richmond, VA 23235
  • Reassigned Medicare billing, North Carolina and Virginia enrollments
  • 4 clinicians in this Medicare group
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, North Carolina and New Jersey enrollments
  • 3 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 56

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
2,517 services2,144 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
745 services718 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
318 services308 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
297 services290 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
289 services281 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
256 services251 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32605 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,124 patients
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.

Other Providers at the Same Location NPPES 19

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

Radiology (Diagnostic Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Radiology (Vascular & Interventional Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Radiology (Vascular & Interventional Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Physician Assistant
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Physician Assistant
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605
Radiology (Diagnostic Radiology)
6716 NW 11TH PL STE 200
GAINESVILLE, FL 32605

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 Michael Breen's NPI number?

The NPI number for Michael Breen is 1346235801. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Michael Breen located?

Michael Breen practices at 6716 NW 11th Pl Ste 200, Gainesville, FL 32605. The listed phone number is (352) 331-9729.

What is Michael Breen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Breen enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Breen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Breen reassigns Medicare benefits to 8 organizations: Doctors Imaging Group LLC (Gainesville, FL), Doctors Radiology Group Of Gainesville LLC (Gainesville, FL), North Florida Outpatient Imaging Center Ltd (Gainesville, FL), Mori Bean And Brooks Inc (Tampa, FL), Steward Medical Group, Inc. (Cocoa, FL) and 3 more organizations, listed in the Medicare section above. 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 Michael Breen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Breen accept?

Health plans from Oscar Insurance Company list Michael 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 Michael Breen affiliated with any hospitals?

According to CMS data, Michael Breen is affiliated with Hca Florida Lake City Hospital, Hca Florida North Florida Hospital, Community Medical Center, Cjw Medical Center and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Michael Breen was last updated on April 14, 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.