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BRETT A BRECHNER DO
NPI 1629079108
Family Medicine in Crown Point, IN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
9150 E 109TH AVE, SUITE 2A, CROWN POINT, IN 46307(219) 226-1529(219) 226-2994 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brett A Brechner Do NPPES

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

BRETT A BRECHNER DO (NPI 1629079108) is an individual family medicine provider in Crown Point, Indiana, licensed in Indiana (02002495A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Chicago College Of Osteopathy (1999).

NPPES Registry Identity

NPI1629079108
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRETT A BRECHNERCredential: DO
Location Address9150 E 109TH AVE, SUITE 2ACrown Point, IN 46307-7687
Mailing Address9150 E 109th Ave, Suite 2aCrown Point, IN 46307-7687 · (219) 226-1529 · Fax (219) 226-2994
Phone(219) 226-1529
Fax(219) 226-2994
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1999
Enumeration DateAugust 9, 2005
Last NPPES UpdateNovember 1, 2011
✔ NPI 1629079108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02002495A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9150 E 109TH AVE, Crown Point, IN 46307
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Other Identifiers 3

Medicare UPINH24197
Medicaid200380090IN
Medicare ID-Type Unspecified142650J

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brett A Brechner Do 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 ID6002887049
PECOS Enrollment IDI20040804000103
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 3

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 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.
88 services43 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.
72 services39 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
26 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Pinnacle Hospital

Acute Care Hospitals · Crown Point, IN
OwnershipPhysician
CMS Certification Number150166
Location9301 Connecticut DrCrown Point, IN 46307 · Lake County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims38 services$6.06 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$49.10 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$26.47 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
3 suppliers27 claims27 services$63.55 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$211.51 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 10

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

MDM HOME HEALTH CARE, INC.
Home Health
9150 E 109TH AVE, SUITE 3A
CROWN POINT, IN 46307
Lake County (219) 310-8537
MRS. BRITTNEY ELIZABETH OWEN FNP-BC
Nurse Practitioner (Family)
9150 E 109TH AVE, SUITE 2A
CROWN POINT, IN 46307
Lake County (219) 226-1529
TRUSHARKUMAR PAREKH
Pharmacist
9150 E 109TH AVE, SUITE B1
CROWN POINT, IN 46307
Lake County (219) 488-1461
COMPASSIONATE COUNSELING
Social Worker (Clinical)
9150 E 109TH AVE
CROWN POINT, IN 46307
Lake County (219) 310-8693
WINFIELD WOODS CHIROPRACTIC, INC.
Chiropractor
9150 E 109TH AVE, SUITE 2B
CROWN POINT, IN 46307
Lake County (219) 661-9161
DR. CHRISTIAN LEONAKIS D.P.T., P.T.
Physical Therapist
9150 E 109TH AVE
CROWN POINT, IN 46307
Lake County (219) 988-1332
MRS. MICHELLE HOOVER
Nurse Practitioner (Family)
9150 E 109TH AVE
CROWN POINT, IN 46307
Lake County (219) 226-1529
DR. DAVID ARNOLD BLEZA MD
Surgery
9150 E 109TH AVE
CROWN POINT, IN 46307
Lake County (219) 779-9721

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 Brett Brechner's NPI number?

The NPI number for Brett Brechner is 1629079108. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Brett Brechner located?

Brett Brechner practices at 9150 E 109th Ave Suite 2A, Crown Point, IN 46307. The listed phone number is (219) 226-1529.

What is Brett Brechner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brett Brechner enrolled in Medicare?

Yes. Brett Brechner 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 Brett Brechner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Brett Brechner 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 Brett Brechner affiliated with any hospitals?

According to CMS data, Brett Brechner is affiliated with St Catherine Hospital Inc, St Mary Medical Center Inc, Northwest Health - Porter, Franciscan Health Crown Point and Pinnacle Hospital.

When was this NPI record last updated?

The NPPES record for Brett Brechner was last updated on November 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.