THOMAS J BREFELD MD
NPI 1699885871
Internal Medicine in Rockford, IL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-4066 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Thomas J Brefeld Md NPPES

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

THOMAS J BREFELD MD (NPI 1699885871) is an individual internal medicine provider in Rockford, Illinois, licensed in Illinois (036104961) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699885871
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS J BREFELDCredential: MD
Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300
Mailing Address29624 Network PlChicago, IL 60673-1296 · (608) 756-6278
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1699885871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036104961
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036104961 (IL)
8201 E RIVERSIDE BLVD, Rockford, IL 61114

Secondary Practice Locations 3

Location 1875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500
Location 2901 Grant StHarvard, IL 60033-1821 · Phone (815) 943-5431
Location 32400 N Rockton AveRockford, IL 61103-3655 · Phone (815) 971-4025

Other Identifiers 1

Medicaid036104961IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas J Brefeld 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 ID7416905229
PECOS Enrollment IDI20050108000086
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Brefeld reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
222 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services73 patients

Hospital Affiliations CMS Care Compare

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

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
2 suppliers38 claims38 services$81.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$30.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims32 services$31.11 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 20

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

Neurological Surgery
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Radiology (Neuroradiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Internal Medicine
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Occupational Therapist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Internal Medicine (Hospice and Palliative Medicine)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Pharmacist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Radiology (Vascular & Interventional Radiology)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114

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 Thomas Brefeld's NPI number?

The NPI number for Thomas Brefeld is 1699885871. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Thomas Brefeld located?

Thomas Brefeld practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-4066.

What is Thomas Brefeld's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Brefeld enrolled in Medicare?

Yes. Thomas Brefeld 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.

Which organizations bill Medicare for Thomas Brefeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Brefeld reassigns Medicare benefits to 3 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Brefeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Brefeld accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Brefeld 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 Thomas Brefeld affiliated with any hospitals?

According to CMS data, Thomas Brefeld is affiliated with Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Brefeld was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.