DR. DAVID M. BREIDBART MD
NPI 1447221437
Internal Medicine - Pulmonary Disease in Lake Success, NY

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
6 OHIO DR, SUITE 201, LAKE SUCCESS, NY 11042(516) 328-8700(516) 328-8779 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David M. Breidbart Md NPPES

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

DR. DAVID M. BREIDBART MD (NPI 1447221437) is an individual pulmonary disease provider in Lake Success, New York, licensed in New York (142695) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1979).

NPPES Registry Identity

NPI1447221437
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. DAVID M. BREIDBARTCredential: MD
Location Address6 OHIO DR, SUITE 201Lake Success, NY 11042-1129
Mailing Address6 Ohio Dr, Suite 201Lake Success, NY 11042-1129 · (516) 328-8700 · Fax (516) 328-8779
Fax(516) 328-8779
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1979
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1447221437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 142695
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 142695 (NY)
6 OHIO DR, Lake Success, NY 11042

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. David M. Breidbart 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 ID9830265917
PECOS Enrollment IDI20091223000187
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 12

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 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.
427 services253 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.
345 services192 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
327 services228 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
207 services172 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
163 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services36 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 12

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

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$922.57 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier15 claims15 services$870.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers80 claims89 services$67.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers64 claims72 services$33.93 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
20 suppliers59 claims12,142 services$0.03 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
7 suppliers15 claims4,102 services$0.04 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 20

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

Pathology (Clinical Pathology)
6 OHIO DR, SUITE 202
NEW HYDE PARK, NY 11042
Student in an Organized Health Care Education/Training Program
6 OHIO DR
NEW HYDE PARK, NY 11042
Pathology (Anatomic Pathology & Clinical Pathology)
6 OHIO DR, 202
NEW HYDE PARK, NY 11042
Radiology (Diagnostic Radiology)
6 OHIO DR
NEW HYDE PARK, NY 11042
Pathology (Anatomic Pathology & Clinical Pathology)
6 OHIO DR, SUITE 202
NEW HYDE PARK, NY 11042
Internal Medicine (Pulmonary Disease)
6 OHIO DR, NORTH SHORE PULMONARY ASSOCIATES, P.C. LSQ MEDICAL BUIL
LAKE SUCCESS, NY 11042
Radiology (Diagnostic Radiology)
6 OHIO DR, 1811
NEW HYDE PARK, NY 11042
Radiology (Diagnostic Radiology)
6 OHIO DR
NEW HYDE PARK, NY 11042

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 David Breidbart's NPI number?

The NPI number for David Breidbart is 1447221437. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is David Breidbart located?

David Breidbart practices at 6 Ohio Dr Suite 201, Lake Success, NY 11042. The listed phone number is (516) 328-8700.

What is David Breidbart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is David Breidbart enrolled in Medicare?

Yes. David Breidbart 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.

Is David Breidbart affiliated with any hospitals?

According to CMS data, David Breidbart is affiliated with North Shore University Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for David Breidbart was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.