Active NPI 1003887217 Individual Practitioner Male Practitioner

Dr. Robert E Breving , MD

Surgery • Hot Springs, AR

Professional Overview & Biography Verified Profile Summary

Dr. Robert Breving, MD is a registered healthcare professional specializing in Surgery in Hot Springs, AR. Practice services are available at 1900 MALVERN AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, initial hospital care with straightforward or low-level medical decision making, if using time, at least, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Malvern Ave
Suite 302

Hot Springs, AR 719017759

Telephone 5016239300

Fax 5016239305

Associated Practice Facility / Clinic

🏢 Physicians For Women, Plc Facility NPI 1487648275

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hot Springs, AR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.2 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

17 Specialists

Practicing in Hot Springs, AR (301 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	36	36	$1000.00	$161.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$253.00	$119.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$700.00	$65.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	35	$135.00	$64.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$700.00	$47.38
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$1000.00	$176.10
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$134.00	$83.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$253.00	$124.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	18	$74.00	$35.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$100.00	$51.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$373.00	$176.39
43249 Balloon dilation of esophagus using an endoscope	18	16	$1542.00	$98.42
45380 Biopsy of large bowel using an endoscope	15	14	$1000.00	$82.61
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	12	$925.00	$78.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	25	$135.00	$67.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$373.00	$186.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$700.00	$51.50
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	23	$1000.00	$180.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	18	$925.00	$79.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$100.00	$51.29
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$850.00	$155.57
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$134.00	$83.99
43270 Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$462.00	$189.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	93	$373.00	$190.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	34	$135.00	$69.02
99213 Established patient office or other outpatient visit, typically 15 minutes	55	49	$134.00	$68.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$198.00	$96.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$700.00	$38.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	31	30	$925.00	$81.52
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	28	$1000.00	$177.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	19	$194.00	$100.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$100.00	$41.58
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1575.00	$652.29
43246 Insertion of stomach tube using a flexible endoscope	12	12	$545.00	$177.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	100	$373.00	$189.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	42	$135.00	$68.78
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$134.00	$68.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$198.00	$99.47
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$1000.00	$168.28
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	25	24	$925.00	$81.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	17	$700.00	$63.42
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	13	$60.00	$17.83
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$630.00	$234.81
47001 Needle biopsy of liver	12	12	$225.00	$97.54
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	11	11	$1200.00	$261.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	100	$134.00	$67.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	44	$135.00	$68.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	98	$373.00	$191.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$198.00	$96.66
99285 Emergency department visit for life threatening or functioning severity	36	36	$1695.44	$164.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$700.00	$54.69
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$1000.00	$146.50
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	24	$925.00	$91.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	21	$82.00	$8.08
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	19	19	$1200.00	$251.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	11	$37.00	$19.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$100.00	$40.06
47001 Needle biopsy of liver	16	16	$225.00	$97.49
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	15	$630.00	$242.04
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$60.00	$17.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$305.00	$152.79
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1575.00	$662.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$198.00	$99.66
99284 Emergency department visit with moderate level of medical decision making	11	11	$1158.45	$111.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	47	$135.00	$68.06
99213 Established patient office or other outpatient visit, typically 15 minutes	89	78	$134.00	$66.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	12	$5.00	$1.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	68	$373.00	$190.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$198.00	$98.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	37	$1000.00	$130.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$700.00	$48.73
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	27	27	$839.81	$115.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$305.00	$147.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$88.80	$39.55
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	24	$54.00	$8.05
99291 Critical care, first 30-74 minutes	20	20	$1425.75	$210.57
99285 Emergency department visit for life threatening or functioning severity	20	20	$1075.80	$164.37
45380 Biopsy of large bowel using an endoscope	18	18	$1000.00	$64.69
99283 Emergency department visit with low level of medical decision making	16	16	$429.13	$58.67
20610 Aspiration and/or injection of fluid from large joint	14	13	$257.14	$69.91
45382 Control of bleeding of upper large bowel using a flexible endoscope	13	13	$1300.00	$229.90
45381 Injection beneath lining of large bowel using a flexible endoscope	13	13	$1200.00	$61.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$1100.00	$187.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$198.00	$98.86
47001 Needle biopsy of liver	12	12	$225.00	$96.81
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$875.00	$182.40
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1575.00	$657.68
99284 Emergency department visit with moderate level of medical decision making	11	11	$778.18	$111.35

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR 201408921

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License AR 201408921

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

154398001 (AR)

Commercial Insurance / Payer ID Bcbs

5N045 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Brittney Shanek , APRN

Nurse Practitioner - Family

NPI 1306476676

Advanced Practice Registered Nurse

Dr. Adriane Martin , DO

Surgery

NPI 1932179991

Doctor of Osteopathic Medicine (D.O.)

Dr. Christian Latham , MD

Surgery

NPI 1932386646

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2010

Registered at 1900 MALVERN AVE, SUITE 302, HOT SPRINGS, AR 719017759 (Tel: 5016239300)

📍

Updated Business Mailing Address December 08, 2010

Registered at 1900 MALVERN AVE, SUITE 302, HOT SPRINGS, AR 719017759 (Tel: 5016239300)

👤

Provider Name / Credentials Updated December 08, 2010

Recorded as ROBERT BREVING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2010

Surgery (License #201408921 in AR)

🟢

Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003887217

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 27, 2006

Last Update: December 08, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1900 Malvern Ave, Suite 302

Hot Springs, AR 719017759

Phone: 5016239300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.