DR. SEAN M BREIT M.D.
NPI 1508806324
Ophthalmology in Richmond Heights, MO

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
98.65/100
CMS Quality Rating
15 THE BOULEVARD SAINT LOUIS, RICHMOND HEIGHTS, MO 63117(314) 863-4200(314) 863-3570 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean M Breit M.d. NPPES

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

DR. SEAN M BREIT M.D. (NPI 1508806324) is an individual ophthalmology provider in Richmond Heights, Missouri, licensed in Missouri (2006005273) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1508806324
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SEAN M BREITCredential: M.D.
Location Address15 THE BOULEVARD SAINT LOUISRichmond Heights, MO 63117-1118
Mailing Address15 The Boulevard Saint LouisRichmond Heights, MO 63117-1118 · (314) 863-4200 · Fax (314) 863-3570
Fax(314) 863-3570
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1508806324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MO · 2006005273
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

15 THE BOULEVARD SAINT LOUIS, Richmond Heights, MO 63117

Accepted 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. Sean M Breit 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 ID4284637893
PECOS Enrollment IDI20060822000290, I20221108000915
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,013 services898 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.
430 services330 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
282 services173 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
279 services267 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
254 services249 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
245 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

98.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost95.51

Other Providers at the Same Location NPPES 6

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

Ophthalmology
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117
Optometrist
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117
Optometrist
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117
Optometrist
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117
Ophthalmology
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117
Ophthalmology
15 THE BOULEVARD SAINT LOUIS
RICHMOND HEIGHTS, MO 63117

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 Sean Breit's NPI number?

The NPI number for Sean Breit is 1508806324. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sean Breit located?

Sean Breit practices at 15 The Boulevard Saint Louis, Richmond Heights, MO 63117. The listed phone number is (314) 863-4200.

What is Sean Breit's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Sean Breit enrolled in Medicare?

Yes. Sean Breit 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.

What insurance does Sean Breit accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Sean Breit 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.

When was this NPI record last updated?

The NPPES record for Sean Breit was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.