DR. CHARLES WILLIAM BRECKENRIDGE M.D.
NPI 1366454662
Orthopaedic Surgery in Corpus Christi, TX

Active since August 13, 2006PECOS Enrolled
64.29/100
CMS Quality Rating
5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX 78417(361) 854-0811(361) 806-5040 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Jan 28, 2016 (2 updates tracked since 2016).

About Dr. Charles William Breckenridge M.d. NPPES

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

DR. CHARLES WILLIAM BRECKENRIDGE M.D. (NPI 1366454662) is an individual orthopaedic surgery provider in Corpus Christi, Texas, licensed in Texas (J8212) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1989).

NPPES Registry Identity

NPI1366454662
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. CHARLES WILLIAM BRECKENRIDGECredential: M.D.
Location Address5917 CROSSTOWN EXPRESSWAY SH 286Corpus Christi, TX 78417
Mailing Address5917 Crosstown Expressway Sh 286Corpus Christi, TX 78417 · (361) 854-0811 · Fax (361) 806-5040
Fax(361) 806-5040
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1989
Enumeration DateAugust 13, 2006
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1366454662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · J8212
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License J8212 (TX)
5917 CROSSTOWN EXPRESSWAY SH 286, Corpus Christi, TX 78417

Other Identifiers 1

Medicaid1106783-02TX

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 (PECOS)

Dr. Charles William Breckenridge M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163419136
PECOS Enrollment IDI20040802001315
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 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.
134 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
97 services97 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
95 services84 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
47 services41 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
26 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78417 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

64.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality42.16
Promoting Interoperability87
Improvement Activities40

Reported Quality Measures

Chlamydia Screening for Women
0%20 patients
Closing the Referral Loop: Receipt of Specialist Report
26%633 patients2/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
58%24 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
68%3,098 patients3/55-star benchmark: 100%
e-Prescribing
100%445 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 1,380 patients
3%1,380 patients
Provide Patients Electronic Access to Their Health Information
64%796 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%47 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 500 patients
Patients totalRate: 2% · 500 patients
2%500 patients4/55-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

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

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
1 supplier32 claims32 services$581.47 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 10

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

Internal Medicine (Sports Medicine)
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Physician Assistant
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Orthopaedic Surgery
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Orthopaedic Surgery
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Orthopaedic Surgery
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Nurse Practitioner (Family)
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Physician Assistant (Medical)
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Physician Assistant
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417

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 Charles Breckenridge's NPI number?

The NPI number for Charles Breckenridge is 1366454662. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Charles Breckenridge located?

Charles Breckenridge practices at 5917 Crosstown Expressway Sh 286, Corpus Christi, TX 78417. The listed phone number is (361) 854-0811.

What is Charles Breckenridge's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Charles Breckenridge enrolled in Medicare?

Yes. Charles Breckenridge is registered in the Medicare PECOS enrollment system.

What insurance does Charles Breckenridge accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Charles Breckenridge 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.

When was this NPI record last updated?

The NPPES record for Charles Breckenridge was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.