MS. CANDICE R BREEDEN PA
NPI 1598716730
Physician Assistant in Oklahoma City, OK

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
70.88/100
CMS Quality Rating
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120(405) 748-3300(877) 657-5008 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Candice R Breeden Pa NPPES

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

MS. CANDICE R BREEDEN PA (NPI 1598716730) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (PA1512) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Oklahoma Spine Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1598716730
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CANDICE R BREEDENCredential: PA
Location Address4120 W MEMORIAL RD, SUITE 300Oklahoma City, OK 73120-9322
Mailing Address1701 Renaissance Blvd Ste 110Edmond, OK 73013-3084 · (405) 844-4978 · Fax (405) 844-0562
Fax(877) 657-5008
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 16, 2019
NPI 1598716730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · PA1512
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4120 W MEMORIAL RD, Oklahoma City, OK 73120

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

Ms. Candice R Breeden Pa 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 ID5092725390
PECOS Enrollment IDI20060523000119
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 14

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.
64 services54 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
36 services24 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
36 services27 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.
26 services24 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
25 services23 patients
Fusion of pelvic joint using imaging guidance 27279
This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Oklahoma Spine Hospital

Acute Care Hospitals · Oklahoma City, OK
OwnershipPhysician
CMS Certification Number370206
Location14101 Parkway Commons DriveOklahoma City, OK 73134 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

70.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.62
Promoting Interoperability72
Improvement Activities40
Cost54.66

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.

Neurological Surgery
4120 W MEMORIAL RD, SUITE 300
OKLAHOMA CITY, OK 73120
Specialist
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Registered Nurse (Medical-Surgical)
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Registered Nurse (Neuroscience)
4120 W MEMORIAL RD, STE 300
OKLAHOMA CITY, OK 73120
Physician Assistant (Surgical)
4120 W MEMORIAL RD, SUITE 300
OKLAHOMA CITY, OK 73120
Physician Assistant (Surgical)
4120 W MEMORIAL RD, SUITE 300
OKLAHOMA CITY, OK 73120
Psychiatry & Neurology (Neurology)
4120 W MEMORIAL RD, #218
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Family)
4120 W MEMORIAL RD
OKLAHOMA CITY, OK 73120

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 Candice Breeden's NPI number?

The NPI number for Candice Breeden is 1598716730. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Candice Breeden located?

Candice Breeden practices at 4120 W Memorial Rd Suite 300, Oklahoma City, OK 73120. The listed phone number is (405) 748-3300.

What is Candice Breeden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Candice Breeden enrolled in Medicare?

Yes. Candice Breeden 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 Candice Breeden accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Candice Breeden 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 Candice Breeden affiliated with any hospitals?

According to CMS data, Candice Breeden is affiliated with Oklahoma Spine Hospital.

When was this NPI record last updated?

The NPPES record for Candice Breeden was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.