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JAMES ANTHONY BREIT MD
NPI 1972582021
Surgery - Plastic and Reconstructive Surgery in Sioux Falls, SD

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment
4201 SOUTH MINNESOTA AVENUE, STE 112, SIOUX FALLS, SD 57105(605) 335-3349(605) 336-8436 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Anthony Breit Md NPPES

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

JAMES ANTHONY BREIT MD (NPI 1972582021) is an individual plastic and reconstructive surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (5624) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1998).

NPPES Registry Identity

NPI1972582021
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameJAMES ANTHONY BREITCredential: MD
Location Address4201 SOUTH MINNESOTA AVENUE, STE 112Sioux Falls, SD 57105-6706
Mailing Address4201 South Minnesota Avenue, Ste 112Sioux Falls, SD 57105-6706 · (605) 335-3349 · Fax (605) 336-8436
Phone(605) 335-3349
Fax(605) 336-8436
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1998
Enumeration DateJanuary 16, 2006
Last NPPES UpdateJune 20, 2011
✔ NPI 1972582021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in SD · 5624✔ Licensed in IA · 34154
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4201 SOUTH MINNESOTA AVENUE, Sioux Falls, SD 57105
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Other Names 1

Other Name (5)Tony Breit Md

Other Identifiers 6

Medicaid5248690IA
Medicaid7302040SD
Medicaid717642200MN
Medicare UPINH50999SD
Medicaid10025286300NE
Medicare PINS100416SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

James Anthony Breit Md 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 ID5496784423
PECOS Enrollment IDI20140624001312
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD
OwnershipProprietary
CMS Certification Number430090
Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

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.

LEE PATRICK MILLER MD
Surgery (Plastic and Reconstructive Surgery)
4201 SOUTH MINNESOTA AVENUE, STE 112
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349
RIVERS EDGE AESTHETIC SURGERY, LLC
Clinic/Center (Ambulatory Surgical)
4201 SOUTH MINNESOTA AVENUE, STE. 111
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349
PLASTIC SURGERY ASSOCIATES OF SOUTH DAKOTA, LTD
Plastic Surgery
4201 SOUTH MINNESOTA AVENUE, STE. 112
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349

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 James Breit's NPI number?

The NPI number for James Breit is 1972582021. It was assigned to this individual provider in the NPPES registry on January 16, 2006. The provider is also known as Tony Breit MD.

Where is James Breit located?

James Breit practices at 4201 South Minnesota Avenue Ste 112, Sioux Falls, SD 57105. The listed phone number is (605) 335-3349.

What is James Breit's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is James Breit enrolled in Medicare?

Yes. James Breit 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.

What insurance does James Breit accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list James Breit 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 James Breit affiliated with any hospitals?

According to CMS data, James Breit is affiliated with Sanford Usd Medical Center and Sioux Falls Specialty Hospital.

When was this NPI record last updated?

The NPPES record for James Breit was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.