Active NPI 1427286673 Individual Practitioner Male Practitioner

Dr. Joseph Thomas Breen , MD

Otolaryngology • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Breen, MD is a certified Otolaryngology practicing in Jacksonville, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Breen delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Breen is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, incision of eardrum with insertion of eardrum tube under local or topical anesthesia. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -2.9 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 28.8 Yrs

Regional Practice Density

52 Specialists

Practicing in Jacksonville, FL (715 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breen (17 Years) 17 Yrs

Jacksonville Specialty Average (19.9 Years) 19.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	192	$312.00	$88.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$474.00	$108.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$743.00	$163.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$473.00	$124.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	48	$192.00	$54.10
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	32	26	$1125.80	$215.89
69930 Implantation of cochlear device	16	16	$10423.00	$1202.38
21235 Obtaining ear cartilage for grafting	15	15	$2770.67	$298.72
69220 Removal of skin debris and drainage of mastoid cavity	14	11	$645.25	$79.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	200	$296.00	$89.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$456.00	$111.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	67	$450.00	$127.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$707.00	$166.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$182.00	$56.08
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	18	16	$1041.83	$213.22
21235 Obtaining ear cartilage for grafting	12	12	$3077.50	$288.75
69631 Repair of eardrum and ear canal with opening to ear bones	11	11	$6715.00	$905.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	197	$296.00	$90.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$456.00	$111.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$707.00	$168.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	76	$450.00	$125.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	34	$182.00	$56.50
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	33	30	$1076.73	$221.08
69631 Repair of eardrum and ear canal with opening to ear bones	21	21	$6778.95	$916.01
21235 Obtaining ear cartilage for grafting	20	20	$3077.50	$288.22
69930 Implantation of cochlear device	17	17	$9996.24	$1216.53
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$304.00	$69.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	83	$125.93	$66.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	43	$193.00	$99.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$225.00	$83.36
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$91.32	$91.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$112.81	$113.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$320.00	$135.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$194.70	$163.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$129.70	$130.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$87.00	$35.72
69930 Implantation of cochlear device	12	12	$2856.28	$1227.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	100	$125.00	$51.20
95117 Professional service for multiple injections of allergen	66	14	$36.00	$10.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$225.00	$75.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$87.00	$26.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$193.00	$76.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$320.00	$130.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	102	$125.00	$50.63
95165 Professional service for preparation and provision of 1 or more antigens	125	13	$36.00	$13.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$225.00	$73.83
95117 Professional service for multiple injections of allergen	42	12	$36.00	$9.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$87.00	$24.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$193.00	$78.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$320.00	$128.02
69210 Removal of impacted ear wax	18	14	$98.00	$32.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	121	11	$36.00	$12.25
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$125.00	$49.70
95117 Professional service for multiple injections of allergen	61	12	$36.00	$9.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$225.00	$75.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	29	$87.00	$25.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	37	$193.00	$73.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$320.00	$126.87
69210 Removal of impacted ear wax	11	11	$98.00	$31.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	79	$125.00	$49.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	58	$87.00	$24.76
95117 Professional service for multiple injections of allergen	59	14	$36.00	$9.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$193.00	$76.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$225.00	$74.97
95115 Injection of incremental dosages of allergen	32	12	$29.00	$8.16
69210 Removal of impacted ear wax	17	12	$98.00	$31.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.00	$126.90
69930 Implantation of cochlear device	16	16	$3655.00	$1195.06

Medical Specialties & State Licenses

CMS Verified: 2021-10-08

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License FL ME152581

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology - Otology & Neurotology

NUCC Taxonomy Code: 207YX0901X

State License OH 35.128526

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P01051992 (MN)

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location October 08, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address October 08, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2021

Otolaryngology (License #35.128526 in OH)

✅

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 11, 2017

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855507)

📍

Updated Practice Location December 11, 2017

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 452194231 (Tel: 5134758400)

👤

Provider Name / Credentials Updated December 11, 2017

Recorded as JOSEPH BREEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Otolaryngology (License #52946 in MN)

✅

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2016

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 452194231 (Tel: 5134758400)

📍

Updated Business Mailing Address July 05, 2016

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 452194231 (Tel: 5134758400)

👤

Provider Name / Credentials Updated July 05, 2016

Recorded as JOSEPH BREEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Otolaryngology (License #52946 in MN)

🟢

Initial NPI Registration & Enumeration June 26, 2009

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: 1427286673

Entity Type:

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

Enumeration Date: June 26, 2009

Last Update: October 08, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

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.