LOUISE BREAKSTONE M.D.
NPI 1831126010
Family Medicine in Kingston, PA

Active since June 26, 2006PECOS Enrolled
90.34/100
CMS Quality Rating
610 WYOMING AVE, KINGSTON, PA 18704(570) 288-5441 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Louise Breakstone M.d. NPPES

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

LOUISE BREAKSTONE M.D. (NPI 1831126010) is an individual family medicine provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD031688E) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831126010
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLOUISE BREAKSTONECredential: M.D.
Location Address610 WYOMING AVEKingston, PA 18704-3702
Mailing Address610 Wyoming AveKingston, PA 18704-3702 · (570) 288-5441 · Fax (570) 288-5842
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
NPI 1831126010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD031688E
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

610 WYOMING AVE, Kingston, PA 18704

Other Identifiers 1

Medicaid001136676PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Louise Breakstone 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

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.

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.
78 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Nurse Practitioner
610 WYOMING AVE, SUITE 1
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Physician Assistant
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine
610 WYOMING AVE
KINGSTON, PA 18704
Internal Medicine (Cardiovascular Disease)
610 WYOMING AVE
KINGSTON, PA 18704
Family Medicine
610 WYOMING AVE
KINGSTON, PA 18704

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 Louise Breakstone's NPI number?

The NPI number for Louise Breakstone is 1831126010. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Louise Breakstone located?

Louise Breakstone practices at 610 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-5441.

What is Louise Breakstone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Louise Breakstone enrolled in Medicare?

Yes. Louise Breakstone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Louise Breakstone was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.