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

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: July 26, 2026.

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
Open in Google Maps ↗

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 (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.

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 10

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.

What insurance does Heather Breen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 3 other insurers 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 with the weekly NPPES data releases published by CMS.