Individual provider Active NPI

Lyle G Breeding, M.D.

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1063625317
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R9N91 Issued in MO
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

Updated by the provider on Feb 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000569 FL Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Interventional Radiology 6800856022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Interventional Radiology
Education
University of Kentucky College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyle Breeding MD PLCGroup PAC ID 6608937974, 2 clinicians

Practice addresses (Care Compare)

11373 Cortez Blvd
Brooksville, FL 34613-5405
Phone (352) 597-3444

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Merit-based Incentive Payment System (MIPS)

Final score
95.12 of 100Reported as individual
Quality
80.25
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)21
Removal of tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9N91MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Lyle Breeding MD PLC Surgery CurrentSince Aug 1, 2008 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

  • Direct secure messaging: lbreeding295930@direct.tgh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBGAA/Endpoint/ACBGAA
  • FHIR API: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.