DR. RICHARD I BREAZEALE M.D.
NPI 1801892146
Ophthalmology - Retina Specialist in Hixson, TN

Active since June 22, 2005PECOS Enrolled
96.31/100
CMS Quality Rating
1605 WILLIAMS RD, STE 201, HIXSON, TN 37343(423) 756-1512(423) 756-1004 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2020, Oct 15, 2020, Sep 17, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Richard I Breazeale M.d. NPPES

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

DR. RICHARD I BREAZEALE M.D. (NPI 1801892146) is an individual retina specialist in Hixson, Tennessee, licensed in Tennessee (31597) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801892146
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. RICHARD I BREAZEALECredential: M.D.
Location Address1605 WILLIAMS RD, STE 201Hixson, TN 37343-4934
Mailing Address320 Prosperity DrKnoxville, TN 37923-4709 · (423) 756-1512 · Fax (423) 756-1004
Fax(423) 756-1004
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateDecember 3, 20205 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1801892146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses Licensed in TN · 31597 Licensed in GA · 56089
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1605 WILLIAMS RD, Hixson, TN 37343

Other Identifiers 4

Medicaid009937405AL
Medicaid000860318CGA
Medicaid000860318EGA
Medicaid3841514TN

Accepted 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. Richard I Breazeale M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
22,560 services63 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,831 services596 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,385 services302 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
426 services45 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
396 services335 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services211 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37343 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

96.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.12
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
1605 WILLIAMS RD
HIXSON, TN 37343
Dentist (General Practice)
1605 WILLIAMS RD
HIXSON, TN 37343
Dentist
1605 WILLIAMS RD
HIXSON, TN 37343
Ophthalmology (Retina Specialist)
1605 WILLIAMS RD, STE 201
HIXSON, TN 37343
Dentist (General Practice)
1605 WILLIAMS RD
HIXSON, TN 37343
Dentist
1605 WILLIAMS RD
HIXSON, TN 37343

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 Richard Breazeale's NPI number?

The NPI number for Richard Breazeale is 1801892146. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Richard Breazeale located?

Richard Breazeale practices at 1605 Williams Rd Ste 201, Hixson, TN 37343. The listed phone number is (423) 756-1512.

What is Richard Breazeale's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Richard Breazeale enrolled in Medicare?

Yes. Richard Breazeale is registered in the Medicare PECOS enrollment system.

What insurance does Richard Breazeale accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Richard Breazeale 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.

When was this NPI record last updated?

The NPPES record for Richard Breazeale was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.