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DR. ADAM PHILLIP BRECEDA M.D.
NPI 1649532078
Orthopaedic Surgery in Denton, TX

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3537 S INTERSTATE 35 E STE 112, DENTON, TX 76210(940) 800-1920(866) 741-2621 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2019, Oct 4, 2019, Jul 9, 2018 (3 updates tracked since 2018).

About Dr. Adam Phillip Breceda M.d. NPPES

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

DR. ADAM PHILLIP BRECEDA M.D. (NPI 1649532078) is an individual orthopaedic surgery provider in Denton, Texas, licensed in Texas (S3495) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649532078
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ADAM PHILLIP BRECEDACredential: M.D.
Location Address3537 S INTERSTATE 35 E STE 112Denton, TX 76210-6868
Mailing Address3537 S Interstate 35 E Ste 112Denton, TX 76210-6868 · (940) 800-1920
Phone(940) 800-1920
Fax(866) 741-2621
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2012
Enumeration DateJune 12, 2012
Last NPPES UpdateDecember 2, 20193 updates tracked since enumeration
✔ NPI 1649532078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · S3495
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedSurgeryTaxonomy 208600000X · License BP10044421 (TX), 63789 (MN)
3537 S INTERSTATE 35 E STE 112, Denton, TX 76210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15201 Harry Hines Blvd, Graduate Medical Education OfficeDallas, TX 75235-7708 · Phone (214) 590-8058
Location 2435 Phalen BlvdSaint Paul, MN 55130 · Phone (651) 254-8300 · Fax (651) 254-8379

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Phillip Breceda 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 ID8921356551
PECOS Enrollment IDI20200108002134
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 11

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services51 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
35 services29 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.
32 services26 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
27 services27 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
22 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Muenster Memorial Hospital

Critical Access Hospitals · Muenster, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451335
Location605 N Maple StreetMuenster, TX 76252 · Cooke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
89%36 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%272 patients5/55-star benchmark: 100%
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.

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 Adam Breceda's NPI number?

The NPI number for Adam Breceda is 1649532078. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Adam Breceda located?

Adam Breceda practices at 3537 S Interstate 35 E Ste 112, Denton, TX 76210. The listed phone number is (940) 800-1920.

What is Adam Breceda's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Adam Breceda enrolled in Medicare?

Yes. Adam Breceda 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 Adam Breceda 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 6 other insurers list Adam Breceda 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 Adam Breceda affiliated with any hospitals?

According to CMS data, Adam Breceda is affiliated with Medical City Denton and Muenster Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adam Breceda was last updated on December 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.