BREANNA M O'NEIL MD
NPI 1407384043
Surgery in Two Rivers, WI
About Breanna M O'neil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA M O'NEIL MD (NPI 1407384043) is an individual surgery provider in Two Rivers, Wisconsin, licensed in Wisconsin (77378) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Manitowoc County, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Breanna M O'neil 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.
Medicare Billing Reassignments
2Medicare enrollment records show Breanna O'neil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Two Rivers, WI 54241
- Reassigned Medicare billing, Wisconsin enrollment
- 55 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurora Medical Ctr Manitowoc County
Acute Care Hospitals · Two Rivers, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54241 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TWO RIVERS, WI 54241
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 Breanna O'neil's NPI number?
The NPI number for Breanna O'neil is 1407384043. It was assigned to this individual provider in the NPPES registry on May 26, 2017.
Where is Breanna O'neil located?
Breanna O'neil practices at 5000 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 794-5000.
What is Breanna O'neil's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Breanna O'neil enrolled in Medicare?
Yes. Breanna O'neil 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 Breanna O'neil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanna O'neil reassigns Medicare benefits to 2 organizations: Aurora Health Care North, Inc. (Two Rivers, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). 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 Breanna O'neil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Breanna O'neil accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Breanna O'neil 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 Breanna O'neil affiliated with any hospitals?
According to CMS data, Breanna O'neil is affiliated with Aurora Medical Ctr Manitowoc County.
When was this NPI record last updated?
The NPPES record for Breanna O'neil was last updated on May 19, 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.
# Breanna M O'neil, MD · NPI 1407384043
Surgery physician in Two Rivers, Wisconsin. Individual provider, active in the CMS NPPES registry since May 26, 2017.
## Identity
- **NPI:** 1407384043 (Entity type: Individual)
- **Enumerated:** May 26, 2017
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 77378 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 MEMORIAL DR, Two Rivers, WI 54241-3900
- **Phone:** (920) 794-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Health Care North, Inc. (NPI 1477508687, Two Rivers, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 19, 2023
- **Other identifiers:** Medicaid 100212240 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1407384043) · Data from the CMS NPPES public registry.