Active NPI 1902098031 Individual Practitioner Female Practitioner

Terry L Breidenbach , NP

Nurse Practitioner • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Terry Breidenbach, NP is a certified Nurse Practitioner practicing in Fargo, ND. With approximately 19 years of clinical experience since completing medical education in 2007, Terry Breidenbach delivers high-quality medical care to the local community at 1720 UNIVERSITY DR S.

Terry Breidenbach is affiliated with Sanford Medical Center Fargo 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, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1720 University Dr S

Fargo, ND 581034940

Telephone 7012347400

Fax 7012804492

Associated Practice Facility / Clinic

🏢 Scci Hospitals Of America Inc. Facility NPI 1609852136

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fargo, ND

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +10.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

210 Specialists

Practicing in Fargo, ND (468 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breidenbach (19 Years) 19 Yrs

Fargo Specialty Average (9.0 Years) 9.0 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	167	153	$362.59	$79.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$472.50	$105.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$508.30	$116.78

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	145	137	$348.03	$79.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$454.41	$110.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	15	$491.95	$119.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$343.00	$80.91

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	141	119	$336.09	$81.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$443.94	$112.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$337.80	$82.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$444.00	$112.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$468.62	$121.92

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	145	123	$288.41	$83.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	36	$384.64	$123.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$288.03	$83.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$439.28	$113.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$437.00	$113.98

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	144	117	$280.69	$66.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	51	$374.71	$95.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$279.50	$66.38
99443 Telephone medical discussion with physician, 21-30 minutes	18	18	$106.33	$66.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$427.67	$109.83

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	200	159	$273.10	$66.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	31	$272.69	$66.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	41	$368.37	$91.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$416.50	$108.42

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	163	127	$266.92	$65.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	37	$359.59	$92.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$267.38	$65.57

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	141	102	$260.04	$65.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	55	$350.11	$92.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$352.73	$112.87

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ND R29748

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

19875 (ND)

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

520 Chautauqua Blvd, Valley City, ND 580723145

Phone: 7018456000

Sanford Medical Center Fargo

904 5th Ave Ne, Jamestown, ND 584013437

Phone: 7012534000

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

2801 University Dr S, Fargo, ND 581036029

Phone: 7012345673

Practice Associates & Co-Workers

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

21 Associated Practitioners

Parker Lanoue

Physician Assistant

NPI 1013516269

Morgan Croves , NP

Nurse Practitioner

NPI 1013641109

Nurse Practitioner

Alyssa Henry

Physician Assistant

NPI 1124988191

Dr. Behzad Sabit , MD

Neurological Surgery

NPI 1205377793

Doctor of Medicine (M.D.)

Katie Jacobs , PA

Physician Assistant

NPI 1346979580

Physician Assistant

Dr. Rebecca Caillier , MD

Psychiatry & Neurology - Neurology

NPI 1427265271

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 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2007

Registered at 1720 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7012347400)

📍

Updated Business Mailing Address December 19, 2007

Registered at 1720 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7012347400)

👤

Provider Name / Credentials Updated December 19, 2007

Recorded as TERRY BREIDENBACH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2007

Nurse Practitioner (License #R29748 in ND)

🟢

Initial NPI Registration & Enumeration August 13, 2007

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: 1902098031

Entity Type:

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

Enumeration Date: August 13, 2007

Last Update: December 19, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1720 University Dr S

Fargo, ND 581034940

Phone: 7012347400

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.