Active NPI 1972582021 Individual Practitioner Male Practitioner

Dr. James Anthony Breit , MD

Surgery - Plastic and Reconstructive Surgery • Sioux Falls, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Breit, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Sioux Falls, SD. With approximately 28 years of clinical experience since graduating from Sanford School Of Medicine Of University Of South Dakota in 1998, Dr. Breit delivers high-quality medical care to the local community at 4201 SOUTH MINNESOTA AVENUE.

Dr. Breit is affiliated with Plastic Surgery Associates Of South Dakota, Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established 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

4201 South Minnesota Avenue
Ste 112

Sioux Falls, SD 571056706

Telephone 6053353349

Fax 6053368436

Associated Practice Facility / Clinic

🏢 Plastic Surgery Associates Of South Dakota, Ltd Facility NPI 1457389199

Medicare Profile & Education

Medical School

Sanford School Of Medicine Of University Of South Dakota

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Sioux Falls, SD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +1.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Sioux Falls, SD (8 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breit (28 Years) 28 Yrs

Sioux Falls Specialty Average (26.3 Years) 26.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$200.00	$105.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	21	$110.00	$54.46

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	34	34	$200.00	$107.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$110.00	$54.96

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	35	35	$200.00	$108.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$110.00	$55.82
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$150.00	$71.96

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	31	31	$200.00	$110.27
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$150.00	$71.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$91.82	$55.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$150.00	$73.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$90.00	$44.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$150.00	$74.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	25	$90.00	$43.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$150.00	$70.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$90.00	$41.48

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	30	20	$90.00	$40.92
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$150.00	$69.87
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$125.00	$69.32

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License SD 5624

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IA 34154

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10025286300 (NE)

Medicaid State Provider ID

717642200 (MN)

Medicaid State Provider ID

5248690 (IA)

Medicaid State Provider ID

7302040 (SD)

Hospital & Practice Group Affiliations

Plastic Surgery Associates Of South Dakota, Ltd

4201 S Minnesota Ave, Sioux Falls, SD 571056706

Phone: 6053353349

Plastic Surgery Associates Of South Dakota, Ltd

1823 Hwy Blvd, Spencer, IA 513012226

Phone: 6053353349

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Lee Miller , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1285613331

Doctor of Medicine (M.D.)

Dr. Vaughn Meyer , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1588644173

Doctor of Medicine (M.D.)

Alexandra Mimmack , PA-C

Physician Assistant

NPI 1861074411

Physician Assistant (Certified)

Alison Serck , CNP

Nurse Practitioner - Adult Health

NPI 1902391287

Certified Nurse Practitioner

Dr. William Lee , MD

Specialist

NPI 1942270681

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 June 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2011

Registered at 4201 SOUTH MINNESOTA AVENUE, STE 112, SIOUX FALLS, SD 571056706 (Tel: 6053353349)

📍

Updated Business Mailing Address June 20, 2011

Registered at 4201 SOUTH MINNESOTA AVENUE, STE 112, SIOUX FALLS, SD 571056706 (Tel: 6053353349)

👤

Provider Name / Credentials Updated June 20, 2011

Recorded as JAMES BREIT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Surgery (License #5624 in SD)

🟢

Initial NPI Registration & Enumeration January 16, 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: 1972582021

Entity Type:

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

Enumeration Date: January 16, 2006

Last Update: June 20, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4201 South Minnesota Avenue, Ste 112

Sioux Falls, SD 571056706

Phone: 6053353349

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.