MRS. PATRICIA BREEN-MCDONOUGH
NPI 1861484685
Physician Assistant in West Covina, CA

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
767 S SUNSET AVE, STE 4, WEST COVINA, CA 91790(626) 337-7204(626) 851-1855 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Patricia Breen-mcdonough NPPES

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

MRS. PATRICIA BREEN-MCDONOUGH (NPI 1861484685) is an individual physician assistant in West Covina, California, licensed in California (PA16251) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Covina, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1861484685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. PATRICIA BREEN-MCDONOUGH
Location Address767 S SUNSET AVE, STE 4West Covina, CA 91790-3546
Mailing Address767 S Sunset Ave, Ste 4West Covina, CA 91790-3546 · (626) 337-7204 · Fax (626) 851-1855
Fax(626) 851-1855
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
NPI 1861484685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA16251
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
767 S SUNSET AVE, West Covina, CA 91790

Secondary Practice Location 1

Location 11135 S Sunset Ave Ste 401West Covina, CA 91790-3921 · Phone (626) 732-8391

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Patricia Breen-mcdonough 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 ID2466413620
PECOS Enrollment IDI20041027000189
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services32 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.
60 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.46
Promoting Interoperability90
Improvement Activities40
Cost50.22

Other Providers at the Same Location NPPES 3

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

Family Medicine
767 S SUNSET AVE, SUITE #4
WEST COVINA, CA 91790
Psychiatry & Neurology (Neurology)
767 S SUNSET AVE, SUITE 5
WEST COVINA, CA 91790
Obstetrics & Gynecology
767 S SUNSET AVE, STE.# 3
WEST COVINA, CA 91790

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 Patricia Breen-mcdonough's NPI number?

The NPI number for Patricia Breen-mcdonough is 1861484685. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Patricia Breen-mcdonough located?

Patricia Breen-mcdonough practices at 767 S Sunset Ave Ste 4, West Covina, CA 91790. The listed phone number is (626) 337-7204.

What is Patricia Breen-mcdonough's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Patricia Breen-mcdonough enrolled in Medicare?

Yes. Patricia Breen-mcdonough 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.

When was this NPI record last updated?

The NPPES record for Patricia Breen-mcdonough was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.