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DR. JOHN D. BRECK D.O.
NPI 1407142623
Family Medicine - Sports Medicine in Boulder, CO

Active since June 27, 2011PECOS Enrolled
1900 WARDENBURG WAY, BOULDER, CO 80309(303) 492-5101 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John D. Breck D.o. NPPES

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

DR. JOHN D. BRECK D.O. (NPI 1407142623) is an individual sports medicine provider in Boulder, Colorado, licensed in Colorado (0055792) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407142623
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. JOHN D. BRECKCredential: D.O.
Location Address1900 WARDENBURG WAYBoulder, CO 80309
Mailing Address1900 Wardenburg WayBoulder, CO 80309-0001 · (303) 492-5101
Phone(303) 492-5101
Sole ProprietorNo
Enumeration DateJune 27, 2011
Last NPPES UpdateJuly 18, 2018
✔ NPI 1407142623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CO · 0055792
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1900 WARDENBURG WAY, Boulder, CO 80309
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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. John D. Breck D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80309 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 John Breck's NPI number?

The NPI number for John Breck is 1407142623. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is John Breck located?

John Breck practices at 1900 Wardenburg Way, Boulder, CO 80309. The listed phone number is (303) 492-5101.

What is John Breck's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is John Breck enrolled in Medicare?

Yes. John Breck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Breck was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.