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DR. MICHAEL C BRECKEL O. D.
NPI 1477653392
Optometrist in Houston, TX

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST, 18TH FLOOR, HOUSTON, TX 77030(713) 559-5200(713) 795-0709 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael C Breckel O. D. NPPES

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

DR. MICHAEL C BRECKEL O. D. (NPI 1477653392) is an individual optometrist in Houston, Texas, licensed in Texas (03874T) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Houston - College Of Optometry (1987).

NPPES Registry Identity

NPI1477653392
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL C BRECKELCredential: O. D.
Location Address6400 FANNIN ST, 18TH FLOORHouston, TX 77030-1511
Mailing Address6400 Fannin St, 18th FloorHouston, TX 77030-1511 · (713) 559-5200 · Fax (713) 795-0709
Phone(713) 559-5200
Fax(713) 795-0709
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1987
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1477653392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 03874T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6400 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Medicaid104402601TX
Medicare ID-Type Unspecified84T613TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Michael C Breckel O. 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 ID1254514672
PECOS Enrollment IDI20110323000211
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Breckel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
Same address
Neurological Surgery
6400 FANNIN ST STE 2800
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 263 clinicians in this Medicare group
NPI 1265096317 (713) 704-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
45 services44 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.
17 services17 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

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.

TEXAS MEDICAL CENTER DENTAL
Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Harris County (713) 795-0608
ARWA MOHAMMED ABDULBASET ELGAMAL
Radiology (Diagnostic Radiology)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
SCOTT JAMES RYAN MD
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 486-5100
KRISTIN WHANGER PACINI PA
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Harris County (713) 486-1800
DR. RANA OMAR AFIFI MD
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Harris County (713) 486-5100
DR. MICHAEL S SWEENEY M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Harris County (713) 790-0841
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Harris County (713) 740-2200
TARA L WEGRYN MD PA
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Harris County (713) 791-9778

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 Michael Breckel's NPI number?

The NPI number for Michael Breckel is 1477653392. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Michael Breckel located?

Michael Breckel practices at 6400 Fannin St 18th Floor, Houston, TX 77030. The listed phone number is (713) 559-5200.

What is Michael Breckel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Breckel enrolled in Medicare?

Yes. Michael Breckel 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 organization bills Medicare for Michael Breckel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Breckel reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 Michael Breckel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Breckel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Michael Breckel 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 Michael Breckel affiliated with any hospitals?

According to CMS data, Michael Breckel is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Michael Breckel was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.