Active NPI
Lyle G Breeding, M.D.
- Surgery Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R9N91
- Practice address
- 11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414 - Phone
- (352) 597-3444
- Fax
- (352) 597-0117
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | R9N91 | MO | |
| Medical Specialty Clinic/Center | 261QM2500X | ME102374 | FL | |
| Surgery Physician | 208600000X | R9N91 | MO | Primary |
Addresses
Primary practice location
11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414
Mailing address
11373 Cortez Blvd
Suite 202
Brooksville, FL 34613-5414
Phone (352) 597-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Kentucky College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11373 Cortez Blvd
Brooksville, FL 34613-5405
Phone (352) 597-3444
Hospital & facility affiliations
- HCA Florida Oak Hill Hospital
- HCA Florida Bayonet Point Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.12 of 100
- Quality
- 80.25
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 21 |
| Removal of tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9N91 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Lyle Breeding MD PLC | Surgery | Current | Accepting new patients |
| Columbia Surgical Associates Inc | Surgery | Past | Accepting new patients |
Locations
11373 Cortez Blvd
Ste 202
Brooksville, FL 34613
Phone (352) 597-3444
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- lbreeding295930@direct.tgh.org
- https://fhir4.healow.com/fhir/r4/ACBGAA
- https://fhir4.healow.com/fhir/r4/ACBGAA/Endpoint/ACBGAA
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Brooksville, FL
- NPI 1518113893
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Surgery Physician
- Columbia, MO
- NPI 1457301574
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1063625317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 202",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135414",
"telephone_number": "352-597-3444",
"fax_number": "352-597-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 202",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135414",
"telephone_number": "352-597-3444",
"fax_number": "352-597-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEDING",
"first_name": "LYLE",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "R9N91",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME102374",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R9N91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.