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AMY BREAKSTONE MD
NPI 1568565638
Obstetrics & Gynecology in Southington, CT

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
1131 WEST ST, BLDG 2, SOUTHINGTON, CT 06489(860) 276-6800(860) 276-6801 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Breakstone Md NPPES

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

AMY BREAKSTONE MD (NPI 1568565638) is an individual obstetrics & gynecology provider in Southington, Connecticut, licensed in Connecticut (030115) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1983).

NPPES Registry Identity

NPI1568565638
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAMY BREAKSTONECredential: MD
Location Address1131 WEST ST, BLDG 2Southington, CT 06489-6006
Mailing Address1131 West St, Bldg 2Southington, CT 06489-6006 · (860) 276-6800 · Fax (860) 276-6801
Phone(860) 276-6800
Fax(860) 276-6801
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1983
Enumeration DateSeptember 6, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1568565638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 030115
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1131 WEST ST, Southington, CT 06489
Open in Google Maps ↗

Other Identifiers 3

Medicaid001301150CT
Medicare ID-Type Unspecified160001565
Medicare UPINH52778

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

Amy Breakstone 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 ID6608773825
PECOS Enrollment IDI20031216000752
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 8

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
55 services55 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
48 services48 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.
31 services29 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
19 services19 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
88%498 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
95%999 patients
Pregnant women that had HBsAg testing
This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy
100%39 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%1,348 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,186 patients
Patients tobacco: 12% · 42 patients
94%1,186 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

CHRISTOPHER MANNING MD LLC
Internal Medicine (Rheumatology)
1131 WEST ST, BLDG 1 SUITE 1
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-1461
MICHELLE E CARLI MSPT
Physical Therapist
1131 WEST ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-3899
VICKIE CHRISTINE GERDON PA-C
Physician Assistant (Medical)
1131 WEST ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-7682
KIMBERLY O DRAKES LNM
Advanced Practice Midwife
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-6800
WENDY LATSHAW MD
Obstetrics & Gynecology
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-6800
DR. CHRISTOPHER K MANNING M.D.
Internal Medicine (Rheumatology)
1131 WEST ST, BLDG 1 STE 1
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-1461
MICHELLE PLYLER CNM
Advanced Practice Midwife
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-6800
MARIANNE SILVA
Social Worker (Clinical)
1131 WEST ST, BUILDING 1 SUITE 3
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 465-6134

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 Amy Breakstone's NPI number?

The NPI number for Amy Breakstone is 1568565638. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Amy Breakstone located?

Amy Breakstone practices at 1131 West St Bldg 2, Southington, CT 06489. The listed phone number is (860) 276-6800.

What is Amy Breakstone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amy Breakstone enrolled in Medicare?

Yes. Amy Breakstone 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.

When was this NPI record last updated?

The NPPES record for Amy Breakstone was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.