DR. HEATHER B. BREEN M.D.
NPI 1740547702
Hospitalist in Beloit, WI

Q: What is Heather Breen's NPI number?

The NPI number for Heather Breen is 1740547702. It was assigned to this individual provider in the NPPES registry on April 16, 2012. The provider is also known as Heather Baker Breen M.D..

Q: What is Heather Breen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Breen was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 16, 2012PECOS Enrolled

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD, BELOIT, WI 53511(608) 363-5971(608) 363-5737 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Heather B. Breen M.d. NPPES

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

DR. HEATHER B. BREEN M.D. (NPI 1740547702) is an individual hospitalist provider in Beloit, Wisconsin, licensed in Wisconsin (68342-20) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1740547702

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. HEATHER B. BREENCredential: M.D.

Location AddressBELOIT MEMORIAL HOSPITAL, 1969 W. HART ROADBeloit, WI 53511-2230

Mailing AddressBeloit Health System Inc., 1905 E. Huebbe ParkwayBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 364-5452

Phone(608) 363-5971

Fax(608) 363-5737

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 16, 2012

Last NPPES UpdateMay 3, 2019

✔ NPI 1740547702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 68342-20

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License E-9421 (AR)

BELOIT MEMORIAL HOSPITAL, Beloit, WI 53511

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Other Names 1

Former Name (1)Heather Baker Breen M.d.

Other Identifiers 1

Medicaid100073023WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather B. Breen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759681372

PECOS Enrollment IDI20171226001246

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

Medicare enrollment records show Heather Breen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group Waukesha, Sc

52 mi

Hospitalist

725 AMERICAN AVE
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
81 clinicians in this Medicare group

NPI 1528544608 (262) 928-5400

Beaver Dam Community Hosptials Inc

59 mi

Family Medicine

1580 W JAMES ST
Columbus, WI 53925

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Beaver Dam Community Hospitals Inc.
1,447 clinicians in this Medicare group

NPI 1275833659 (920) 350-0235

Mchs Hospitals Inc

137 mi

Clinic/Center

440 24TH ST S
Wisconsin Rapids, WI 54494

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1952890873 (Wisconsin)
2,476 clinicians in this Medicare group

NPI 1568188589 (715) 751-6200

Marshfield Clinic Inc

161 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Memorial Hospital Inc

164 mi

Clinic/Center

N3708 RIVER AVE
Neillsville, WI 54456

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1346239373 (Wisconsin)
1,440 clinicians in this Medicare group

NPI 1033701800 (715) 743-3101

Lakeview Medical Center Inc Of Rice Lake

236 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

Flambeau Hospital Inc

248 mi

Clinic/Center

98 SHERRY AVE
Park Falls, WI 54552

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1700963048 (Wisconsin)
1,351 clinicians in this Medicare group

NPI 1194317966 (715) 762-2484

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 5

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.

406 services178 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.

145 services141 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.

91 services91 patients

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 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520076

Location707 S University AveBeaver Dam, WI 53916 · Dodge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers21 claims21 services$19.27 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 suppliers34 claims34 services$99.57 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$33.26 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 9

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

MARGARET M PEARSALL M.D.

Hospitalist

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

Rock County (608) 363-5971

JENNIFER D. DOCHEE M.D.

Internal Medicine (Interventional Cardiology)

BELOIT MEMORIAL HOSPITAL, 1969 W. HART RD
BELOIT, WI 53511

Rock County (608) 364-5205

RUTH C. TAGGART NP

Nurse Practitioner

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

Rock County (608) 363-5971

SHAWN DOUGLAS ANTLE M.D.

Hospitalist

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

Rock County (608) 363-5971

RUTH CHRISTIANSEN N.P.

Nurse Practitioner

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

Rock County (608) 363-5971

DR. EMILY C DEMPSEY NP

Nurse Practitioner

BELOIT MEMORIAL HOSPITAL, 1969 W HART ROAD
BELOIT, WI 53511

Rock County (608) 364-5205

DR. OMER SHARIF M.D.

Hospitalist

BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD
BELOIT, WI 53511

Rock County (608) 363-5971

CHARLES L LAHAM MD

Internal Medicine (Cardiovascular Disease)

BELOIT MEMORIAL HOSPITAL, 1969 WEST HART RD
BELOIT, WI 53511

Rock County (608) 364-5011

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 Heather Breen's NPI number?

The NPI number for Heather Breen is 1740547702. It was assigned to this individual provider in the NPPES registry on April 16, 2012. The provider is also known as Heather Baker Breen M.D..

Where is Heather Breen located?

Heather Breen practices at Beloit Memorial Hospital 1969 W. Hart Road, Beloit, WI 53511. The listed phone number is (608) 363-5971.

What is Heather Breen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Heather Breen enrolled in Medicare?

Yes. Heather Breen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Breen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Breen reassigns Medicare benefits to 7 organizations: Apogee Medical Group Waukesha, Sc (Waukesha, WI), Beaver Dam Community Hosptials Inc (Columbus, WI), Mchs Hospitals Inc (Wisconsin Rapids, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital Inc (Neillsville, WI) and 2 more organizations, listed in the Medicare section above. 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 Heather Breen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Breen accept?

Health plans from Sanford Health Plan list Heather Breen 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 Heather Breen affiliated with any hospitals?

According to CMS data, Heather Breen is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital and Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Heather Breen was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.