Active NPI 1437151719 Individual Practitioner Male Practitioner

Dr. Charles J Breen , MD

Ophthalmology • Florence, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Breen, MD is a certified Ophthalmology practicing in Florence, KY. With approximately 39 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1987, Dr. Breen delivers high-quality medical care to the local community at 7370 TURFWAY RD.

Dr. Breen is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7370 Turfway Rd
Ste 300

Florence, KY 410424895

Telephone 8597461990

Fax 8597463149

Associated Practice Facility / Clinic

🏢 Charles J. Breen, Md, Psc Facility NPI 1750300745

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Florence, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +16.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Florence, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breen (39 Years) 39 Yrs

Florence Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	683	590	$301.00	$119.16
92134 Imaging of retina	155	81	$94.00	$36.46
99213 Established patient office or other outpatient visit, typically 15 minutes	134	124	$213.00	$85.69
92136 Measurement of corneal curvature and depth of eye	119	61	$110.00	$35.47
92083 Exam of visual field with extended testing	101	96	$143.00	$56.53
66984 Removal of cataract with insertion of lens	99	56	$1262.00	$485.49
92004 New patient complete exam of visual system	97	97	$348.00	$137.28
92133 Imaging of optic nerve	83	79	$85.00	$31.58
66821 Removal of recurring cataract in lens capsule using a laser	70	52	$779.99	$307.71
J0178 Injection, aflibercept, 1 mg	54	14	$2234.00	$826.29
67028 Injection of drug into eye	43	21	$264.00	$103.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$394.00	$154.10
92014 Established patient complete exam of visual system	12	12	$293.00	$116.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	797	665	$180.00	$119.41
92134 Imaging of retina	215	116	$94.00	$36.95
92136 Measurement of corneal curvature and depth of eye	205	106	$122.05	$36.09
66984 Removal of cataract with insertion of lens	162	92	$1371.00	$501.90
92083 Exam of visual field with extended testing	128	116	$131.00	$55.04
92004 New patient complete exam of visual system	125	125	$282.00	$135.72
J0178 Injection, aflibercept, 1 mg	118	24	$1890.00	$868.69
92133 Imaging of optic nerve	108	101	$92.00	$31.63
99213 Established patient office or other outpatient visit, typically 15 minutes	72	71	$135.00	$85.01
67028 Injection of drug into eye	58	25	$362.07	$107.30
66821 Removal of recurring cataract in lens capsule using a laser	52	38	$680.19	$313.78
66821 Removal of recurring cataract in lens capsule using a laser	29	29	$1016.38	$351.38
92014 Established patient complete exam of visual system	17	17	$235.00	$117.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$270.00	$157.57
76514 Ultrasound scan of cornea to determine thickness	16	16	$31.00	$10.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	448	$175.56	$119.87
99213 Established patient office or other outpatient visit, typically 15 minutes	303	258	$132.15	$85.05
92136 Measurement of corneal curvature and depth of eye	216	113	$122.22	$37.87
92004 New patient complete exam of visual system	161	161	$282.00	$139.34
66984 Removal of cataract with insertion of lens	157	90	$1371.00	$507.60
92134 Imaging of retina	155	89	$94.00	$37.10
92083 Exam of visual field with extended testing	118	106	$131.00	$50.29
92014 Established patient complete exam of visual system	98	98	$235.00	$117.81
92133 Imaging of optic nerve	81	77	$92.00	$33.17
J0178 Injection, aflibercept, 1 mg	74	15	$1752.16	$902.23
66821 Removal of recurring cataract in lens capsule using a laser	55	54	$952.73	$338.45
67028 Injection of drug into eye	45	16	$330.89	$105.81
66821 Removal of recurring cataract in lens capsule using a laser	18	15	$764.17	$333.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	717	642	$173.00	$121.95
92136 Measurement of corneal curvature and depth of eye	304	159	$122.76	$40.38
92134 Imaging of retina	211	121	$94.00	$37.92
66984 Removal of cataract with insertion of lens	171	102	$1371.00	$509.76
92014 Established patient complete exam of visual system	152	151	$235.00	$117.49
92004 New patient complete exam of visual system	148	148	$282.00	$139.89
92133 Imaging of optic nerve	127	118	$92.00	$34.09
92083 Exam of visual field with extended testing	123	104	$131.00	$52.30
J0178 Injection, aflibercept, 1 mg	118	19	$1720.00	$918.13
99213 Established patient office or other outpatient visit, typically 15 minutes	93	64	$119.00	$86.04
66821 Removal of recurring cataract in lens capsule using a laser	80	80	$990.69	$354.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$264.00	$157.29
67028 Injection of drug into eye	63	20	$307.00	$107.75
68761 Closure of tear duct opening using plug	33	16	$310.12	$99.77
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$1888.00	$676.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	719	659	$235.00	$117.81
92134 Imaging of retina	208	128	$94.00	$37.98
92136 Measurement of corneal curvature and depth of eye	187	96	$121.60	$44.35
66984 Removal of cataract with insertion of lens	151	90	$1371.00	$521.03
92004 New patient complete exam of visual system	134	134	$282.00	$140.47
99213 Established patient office or other outpatient visit, typically 15 minutes	131	97	$119.00	$71.21
92133 Imaging of optic nerve	115	108	$92.00	$34.74
J0178 Injection, aflibercept, 1 mg	100	21	$1720.00	$932.03
92083 Exam of visual field with extended testing	97	78	$131.00	$54.06
67028 Injection of drug into eye	71	27	$307.00	$97.44
66821 Removal of recurring cataract in lens capsule using a laser	70	70	$954.43	$350.12
68761 Closure of tear duct opening using plug	29	15	$301.00	$106.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$72.00	$39.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	855	760	$211.89	$117.95
92136 Measurement of corneal curvature and depth of eye	288	148	$120.40	$47.61
92134 Imaging of retina	254	164	$94.00	$37.76
92004 New patient complete exam of visual system	193	193	$253.82	$141.51
66984 Removal of cataract with insertion of lens	174	111	$1371.00	$606.27
92133 Imaging of optic nerve	160	146	$92.00	$33.76
99213 Established patient office or other outpatient visit, typically 15 minutes	129	90	$115.78	$69.64
92083 Exam of visual field with extended testing	127	121	$131.00	$57.07
66821 Removal of recurring cataract in lens capsule using a laser	67	65	$987.39	$359.84
J0178 Injection, aflibercept, 1 mg	64	16	$1720.00	$943.16
67028 Injection of drug into eye	55	24	$307.00	$97.35
66982 Complex removal of cataract with insertion of prosthetic lens	22	17	$1888.00	$759.26
J7999 Compounded drug, not otherwise classified	22	12	$105.00	$59.08
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$116.36	$71.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	798	683	$194.00	$115.80
92004 New patient complete exam of visual system	263	263	$233.00	$138.99
92136 Measurement of corneal curvature and depth of eye	225	115	$118.33	$49.60
92134 Imaging of retina	191	124	$94.00	$37.85
66984 Removal of cataract with insertion of lens	173	107	$1371.00	$595.71
92133 Imaging of optic nerve	163	147	$92.00	$33.69
92083 Exam of visual field with extended testing	122	116	$131.00	$57.91
99213 Established patient office or other outpatient visit, typically 15 minutes	110	79	$114.00	$68.09
66821 Removal of recurring cataract in lens capsule using a laser	61	53	$794.59	$318.69
67028 Injection of drug into eye	47	23	$307.00	$96.36
92012 Established patient problem focused exam of visual system	43	35	$134.00	$81.34
J0178 Injection, aflibercept, 1 mg	42	11	$1720.00	$952.77
66982 Complex removal of cataract with insertion of prosthetic lens	28	18	$1888.00	$746.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$67.00	$40.70
J7999 Compounded drug, not otherwise classified	17	11	$105.00	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	791	676	$194.00	$112.75
92004 New patient complete exam of visual system	240	240	$233.00	$136.21
92136 Measurement of corneal curvature and depth of eye	232	119	$119.12	$55.72
66984 Removal of cataract with insertion of lens	192	119	$1371.00	$587.36
92012 Established patient problem focused exam of visual system	158	116	$134.00	$76.46
92134 Imaging of retina	103	58	$94.00	$36.33
92133 Imaging of optic nerve	88	82	$92.00	$34.06
92083 Exam of visual field with extended testing	70	68	$131.00	$57.27
67028 Injection of drug into eye	56	20	$312.48	$96.41
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$114.00	$67.96
66821 Removal of recurring cataract in lens capsule using a laser	36	31	$691.39	$291.10
66982 Complex removal of cataract with insertion of prosthetic lens	25	19	$1888.00	$743.88
92002 New patient problem focused exam of visual system	22	22	$128.00	$72.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$67.00	$40.14

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 30914

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Specialist

NUCC Taxonomy Code: 174400000X

State License KY 30914

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OH 35.067760

Specialist

NUCC Taxonomy Code: 174400000X

State License OH 35-06-7760-B

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64309149 (KY)

Medicaid State Provider ID

0102347 (OH)

Hospital & Practice Group Affiliations

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Summit Medical Group Inc

300 Barnes Rd, Williamstown, KY 410979483

Phone: 8598248400

Summit Medical Group Inc

1 Medical Village Dr, Edgewood, KY 410173403

Phone: 8593015901

Summit Medical Group Inc

Po Box, Cincinnati, OH 452635283

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Bandana Waikhom , MD

Ophthalmology

NPI 1053576140

Doctor of Medicine (M.D.)

Dr. Zegary Allen , MD, PhD

Ophthalmology

NPI 1528336989

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address September 18, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8597461990)

✅

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address April 26, 2017

Registered at 2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 410171686 (Tel: 8597461990)

📍

Updated Practice Location April 26, 2017

Registered at 7370 TURFWAY RD, STE 300, FLORENCE, KY 410424895 (Tel: 8597461990)

👤

Provider Name / Credentials Updated April 26, 2017

Recorded as CHARLES BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Specialist (License #35-06-7760-B in OH)

✅

NPI Profile Active September 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2015

Registered at 7370 TURFWAY RD, STE 300, FLORENCE, KY 410424895 (Tel: 8597461990)

📍

Updated Business Mailing Address September 21, 2015

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171686 (Tel: 8593445517)

👤

Provider Name / Credentials Updated September 21, 2015

Recorded as CHARLES BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Specialist (License #30914 in KY)

🟢

Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Charles Breen. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1437151719

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: September 18, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8597461990

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.