DR. STEVEN L HALBREICH M.D
NPI 1427054956
Surgery in Sarasota, FL

Q: What is Steven Halbreich's NPI number?

The NPI number for Steven Halbreich is 1427054956. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Steven Halbreich's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Steven Halbreich was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

78.8/100

CMS Quality Rating

1950 ARLINGTON ST STE 310, SARASOTA, FL 34239(941) 917-6300(941) 917-6306 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Steven L Halbreich M.d NPPES

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

DR. STEVEN L HALBREICH M.D (NPI 1427054956) is an individual surgery provider in Sarasota, Florida, licensed in Florida (ME87228) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of New York University School Of Medicine (1998).

NPPES Registry Identity

NPI1427054956

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. STEVEN L HALBREICHCredential: M.D

Location Address1950 ARLINGTON ST STE 310Sarasota, FL 34239-3513

Mailing AddressPo Box 863407Orlando, FL 32886-3407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 917-6300

Fax(941) 917-6306

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1998

Enumeration DateJune 21, 2005

Last NPPES UpdateJune 24, 2019

✔ NPI 1427054956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME87228

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSpecialistTaxonomy 174400000X · License ME87228 (FL)

1950 ARLINGTON ST STE 310, Sarasota, FL 34239

Open in Google Maps ↗

Other Identifiers 2

Other33181FL · Bcbs Florida

Medicaid267175100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Steven L Halbreich 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 ID6608990783

PECOS Enrollment IDI20100825001170

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 19

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

258 services117 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

157 services157 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.

132 services103 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

124 services118 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

76 services76 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

68 services44 patients

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.

63 services53 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.

59 services59 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

48 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

35 services14 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.

33 services13 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

32 services32 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.

20 services12 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

17 services17 patients

Removal of appendix using an endoscope 44970

Appendix removal, or appendectomy, with an endoscope is a minimally invasive procedure. A small camera (endoscope) is inserted through a tiny incision. This camera guides the surgeon to remove the appendix safely, reducing recovery time and discomfort.

16 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services15 patients

Needle biopsy of liver 47001

A needle biopsy of the liver is a medical procedure where a special needle is used to remove a small piece of liver tissue. This tissue is then examined under a microscope to check for diseases or abnormalities. It's a safe, minimally invasive procedure.

14 services14 patients

Other procedure on liver using an endoscope 47379

This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your liver. It's a minimally invasive method that allows doctors to diagnose and manage liver conditions without major surgery.

13 services13 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100299

Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County

Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100359

Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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.

78.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

5 suppliers27 claims450 services$4.80 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

1 supplier12 claims720 services$1.53 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims565 services$0.22 avg. paid by Medicare

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

1 supplier11 claims130 services$20.62 avg. paid by Medicare

Air fluidized bed E0194

DME-Other DME · category DE000N

1 supplier15 claims15 services$2,349.29 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 7

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

RALPH THOMAS DECAPUA PA-C

Physician Assistant