JAMIELOU CUSTODIO BRECKENRIDGE MD
NPI 1679010896
Surgery in Fort Belvoir, VA

Q: What is Jamielou Breckenridge's NPI number?

The NPI number for Jamielou Breckenridge is 1679010896. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Q: What is Jamielou Breckenridge's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 25, 2017PECOS EnrolledAccepts Medicare Assignment

9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-3224 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Apr 24, 2024, Nov 30, 2021 and 2 more (5 updates tracked since 2017).

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About Jamielou Custodio Breckenridge Md NPPES

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

JAMIELOU CUSTODIO BRECKENRIDGE MD (NPI 1679010896) is an individual surgery provider in Fort Belvoir, Virginia, licensed in Virginia (0101276676) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679010896

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameJAMIELOU CUSTODIO BRECKENRIDGECredential: MD

Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285

Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285 · (571) 231-3224

Phone(571) 231-3224

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2017

Enumeration DateJanuary 25, 2017

Last NPPES UpdateSeptember 6, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2024

✔ NPI 1679010896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in VA · 0101276676

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9300 DEWITT LOOP, Fort Belvoir, VA 22060

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Secondary Practice Locations 3

Location 1190 Campus Blvd Ste 310Winchester, VA 22601-2872 · Phone (540) 536-0130 · Fax (540) 536-0140

Location 21840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000 · Fax (540) 536-7780

Location 3500 Sentara Cir Ste 202Williamsburg, VA 23188-5727 · Phone (757) 984-9850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Jamielou Custodio Breckenridge 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 ID1254699440

PECOS Enrollment IDI20240424000034

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 2

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 of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

28 services28 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services17 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22060 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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.

DR. ASHLEY L MALTEZ-LAURIENTI PSY.D.

Counselor (Mental Health)

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (712) 313-2245

MEGAN ANNE KELLY COTA

Occupational Therapy Assistant

9300 DEWITT LOOP
FT BELVOIR, VA 22060

Fairfax County (571) 231-1321

MS. SHANNON NOELLE FULCROD LCSW, CSAC, MAC

Social Worker (Clinical)

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-1200

CALE WRIGHT PSYD

Psychologist (Clinical Child & Adolescent)

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-0524

SPENCER OSBOURN

Psychiatry & Neurology (Neurology)

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-2966

HEATHER R BARAL

Social Worker (Clinical)

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-3224

UMAR KHAN

Orthopaedic Surgery

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-3224

DAVID PITTS JR. DO

General Practice

9300 DEWITT LOOP
FORT BELVOIR, VA 22060

Fairfax County (571) 231-1803

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 Jamielou Breckenridge's NPI number?

The NPI number for Jamielou Breckenridge is 1679010896. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Jamielou Breckenridge located?

Jamielou Breckenridge practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-3224.

What is Jamielou Breckenridge's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jamielou Breckenridge enrolled in Medicare?

Yes. Jamielou Breckenridge 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 Jamielou Breckenridge accept?

Health plans from CareSource list Jamielou Breckenridge 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 Jamielou Breckenridge affiliated with any hospitals?

According to CMS data, Jamielou Breckenridge is affiliated with Winchester Medical Center.

When was this NPI record last updated?

The NPPES record for Jamielou Breckenridge was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.