Active NPI 1205810017 Individual Practitioner Male Practitioner

Dr. Thomas F Breen , MD

Orthopaedic Surgery • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Breen, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Worcester, MA. Practice services are available at 281 LINCOLN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, release and/or relocation of hand nerve, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St
Department Of Orthopedic Surgery

Worcester, MA 016052138

Telephone 5083340600

Fax 5083345151

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.7% 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	55	$178.00	$36.22
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$262.67	$66.52
64721 Release and/or relocation of hand nerve	37	36	$1647.00	$436.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$359.00	$84.35
26055 Incision of tendon covering	30	24	$2674.00	$262.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$359.00	$86.44
99213 Established patient office or other outpatient visit, typically 15 minutes	107	83	$244.00	$69.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	67	$178.00	$37.68
26055 Incision of tendon covering	64	47	$2674.00	$246.81
64721 Release and/or relocation of hand nerve	45	41	$1647.00	$449.34
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$250.00	$50.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	70	$236.76	$70.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	55	$144.73	$37.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$357.52	$87.46
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$248.44	$51.68
64721 Release and/or relocation of hand nerve	16	15	$1647.00	$466.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	98	$214.00	$54.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$349.00	$80.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	54	$143.00	$27.34
26055 Incision of tendon covering	54	41	$2622.00	$258.83
64721 Release and/or relocation of hand nerve	39	35	$1647.00	$454.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	126	$212.39	$53.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$347.99	$79.52
26055 Incision of tendon covering	66	47	$2616.48	$271.97
64721 Release and/or relocation of hand nerve	56	50	$1676.41	$458.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$142.74	$26.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$342.00	$79.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	94	$140.00	$26.42
99213 Established patient office or other outpatient visit, typically 15 minutes	99	86	$199.00	$52.85
26055 Incision of tendon covering	53	39	$2570.00	$275.03
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$231.00	$52.76
64721 Release and/or relocation of hand nerve	28	27	$1647.00	$438.19
26055 Incision of tendon covering	21	17	$2570.00	$275.92
64721 Release and/or relocation of hand nerve	16	14	$1647.00	$455.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$296.00	$81.77
20550 Injection into tendon or ligament	13	13	$329.00	$41.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	252	181	$139.05	$26.05
99202 New patient office or other outpatient visit, typically 20 minutes	154	154	$228.78	$51.75
26055 Incision of tendon covering	48	36	$2544.75	$263.42
64721 Release and/or relocation of hand nerve	45	41	$1647.00	$434.76
20550 Injection into tendon or ligament	24	18	$329.00	$40.69
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$199.00	$52.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$342.00	$78.15
20600 Aspiration and/or injection of fluid from small joint	14	12	$256.00	$35.60

Medical Specialties & State Licenses

CMS Verified: 2020-10-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 56849

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License MA 56849

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110043810A (MA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Edward Calkins , MD

Orthopaedic Surgery - Hand Surgery

NPI 1508840653

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active April 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2017

Registered at 281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 016052138 (Tel: 5083340600)

📍

Updated Business Mailing Address April 21, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 21, 2017

Recorded as THOMAS BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2017

Orthopaedic Surgery (License #56849 in MA)

✅

NPI Profile Active March 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 07, 2016

Registered at 281 LINCOLN ST, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 016052138 (Tel: 5083345936)

📍

Updated Business Mailing Address March 07, 2016

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤

Provider Name / Credentials Updated March 07, 2016

Recorded as THOMAS BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2016

Orthopaedic Surgery (License #56849 in MA)

🟢

Initial NPI Registration & Enumeration December 05, 2005

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: 1205810017

Entity Type:

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

Enumeration Date: December 05, 2005

Last Update: October 27, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.