Individual provider Active NPI

Timothy Allen Breon, M.D.

  • Surgery Physician
  • Oskaloosa, IA
National Provider Identifier
1992738587
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34607 Issued in IA
Practice address
1229 C Ave E
Oskaloosa, IA 52577-4246
Phone
(641) 672-3360
Fax
(641) 672-9262
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34607 IA Primary

Addresses

Primary practice location

1229 C Ave E
Oskaloosa, IA 52577-4246

Mailing address

1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3360

Other identifiers 5

IdentifierTypeStateIssuer
IA0102OtherIAJOHN DEERE
020053265OtherIARAILROAD MEDICARE
236354OtherIAMIDLANDS CHOICE
0262410MedicaidIA
49943OtherIABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20090427000190 IA Practitioner - General Surgery 0042368300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians

Practice addresses (Care Compare)

201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361

Hospital & facility affiliations

  • Mahaska Health Partnership Hospital, Oskaloosa, IA, CCN 161379
  • Pella Regional Health Center Hospital, Pella, IA, CCN 161367

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Mahaska County Hospital Surgery CurrentSince Apr 1, 2009 Accepting new patients
Mahaska County Hospital Current Accepting new patients
Boone County Hospital Past Accepting new patients
Iowa Rural Surgical Associates, P.C. Surgery Past Accepting new patients

Locations

1229 C Ave E
Ste 100
Oskaloosa, IA 52577
Phone (641) 672-2455

410 N 12th St
Ste 200
Oskaloosa, IA 52577
Phone (641) 672-2455

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

Interoperability endpoints

  • Direct secure messaging: tbreon781066@direct.unitypoint.org

Organizations & group practices 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1992738587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREON",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "34607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "IA0102",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020053265",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "236354",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262410",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49943",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.