Active NPI 1285298240 Individual Practitioner Female Practitioner

Ann Louise Breen

Optometrist • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ann Breen is a certified Optometrist practicing in Fargo, ND. With approximately 7 years of clinical experience since completing medical education in 2019, Ann Breen delivers high-quality medical care to the local community at SANFORD SOUTHPOINTE EYE CENTER & OPTICAL.

Ann Breen is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Sanford Southpointe Eye Center & Optical
2400 32nd Ave. S.

Fargo, ND 58103

Telephone 7012343640

Associated Practice Facility / Clinic

🏢 Sanford Medical Center Fargo Facility NPI 1740346030

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fargo, ND

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -11.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 21.8 Yrs

Regional Practice Density

61 Specialists

Practicing in Fargo, ND (242 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breen (7 Years) 7 Yrs

Fargo Specialty Average (18.0 Years) 18.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	58	51	$82.00	$61.14
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$82.00	$61.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$178.00	$137.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$121.00	$92.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$121.00	$92.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$44.00	$32.47
92014 Established patient complete exam of visual system	25	25	$93.00	$72.64
92134 Imaging of retina	18	15	$73.78	$23.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$44.00	$33.41
92250 Photography of the retina	16	15	$62.50	$19.84
92014 Established patient complete exam of visual system	16	16	$93.00	$72.72
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	16	16	$96.19	$29.67
92134 Imaging of retina	15	12	$74.20	$23.86
92133 Imaging of optic nerve	15	15	$69.00	$20.56
92250 Photography of the retina	12	12	$62.33	$19.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$82.00	$63.83
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$82.00	$64.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$121.00	$95.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$121.00	$93.07
92014 Established patient complete exam of visual system	26	26	$93.00	$75.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$178.00	$140.09
92134 Imaging of retina	22	20	$73.00	$24.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$44.00	$33.98
92133 Imaging of optic nerve	21	20	$69.00	$21.21
92014 Established patient complete exam of visual system	18	18	$93.00	$75.37
92250 Photography of the retina	17	16	$62.00	$20.87
92134 Imaging of retina	17	14	$73.00	$24.61
92250 Photography of the retina	16	13	$62.00	$20.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$101.00	$80.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$224.00	$176.17
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	13	11	$94.38	$30.53
92133 Imaging of optic nerve	12	11	$69.00	$20.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	40	$82.00	$65.69
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$82.00	$65.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$121.00	$96.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$121.00	$94.27
92014 Established patient complete exam of visual system	32	32	$93.00	$76.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$178.00	$143.40
92134 Imaging of retina	24	23	$73.00	$25.15
92014 Established patient complete exam of visual system	23	23	$93.00	$76.36
92133 Imaging of optic nerve	22	22	$69.00	$21.69
92134 Imaging of retina	22	21	$73.00	$25.17
92083 Exam of visual field with extended testing	19	16	$79.00	$26.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$44.00	$35.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$165.00	$122.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$224.00	$179.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$76.50	$64.00
92134 Imaging of retina	50	41	$72.52	$25.27
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$76.76	$62.28
92014 Established patient complete exam of visual system	33	33	$93.00	$76.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$159.74	$139.69
92004 New patient complete exam of visual system	26	26	$116.00	$95.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$42.36	$35.30
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	18	13	$93.00	$31.46
92014 Established patient complete exam of visual system	18	18	$105.61	$79.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$113.00	$96.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$95.40	$81.46
92004 New patient complete exam of visual system	15	15	$133.73	$99.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$114.15	$89.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	105	105	$194.34	$117.21
99213 Established patient office or other outpatient visit, typically 15 minutes	100	92	$124.15	$62.47
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$61.24	$48.54
92134 Imaging of retina	39	37	$95.72	$34.51
92004 New patient complete exam of visual system	38	38	$194.53	$124.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$80.50	$37.10
99354 Prolonged office or other outpatient service first hour	21	21	$360.05	$117.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$184.20	$90.72
92133 Imaging of optic nerve	17	17	$96.06	$32.18
92014 Established patient complete exam of visual system	12	12	$93.00	$79.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	24	24	$116.00	$98.59
92014 Established patient complete exam of visual system	18	18	$93.00	$78.81
92014 Established patient complete exam of visual system	18	18	$93.00	$78.81
92004 New patient complete exam of visual system	17	17	$116.00	$98.51
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$58.00	$49.93

Medical Specialties & State Licenses

CMS Verified: 2022-03-28

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ND 763

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MN 3619

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

2400 32nd Ave S, Fargo, ND 581035800

Phone: 7012342000

Secondary Practice Locations

510 6th St. Ne

Hillsboro, ND 58045

Phone: 7016363966

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Bruce Nelson , MD

Ophthalmology

NPI 1164440749

Doctor of Medicine (M.D.)

Dr. Bradley Ulland , OD

Optometrist

NPI 1477518959

Doctor of Optometry

Dr. Maggie Kelly , OD

Optometrist

NPI 1497944615

Doctor of Optometry

Dr. Jared Gervais , OD

Optometrist

NPI 1578872651

Doctor of Optometry

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 17, 2019

Registered at SANFORD SOUTHPOINTE EYE CENTER & OPTICAL, 2400 32ND AVE. S., FARGO, ND 58103 (Tel: 7012343640)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Optometrist (License #3619 in MN)

✅

NPI Profile Active April 25, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2019

Registered at 510 6TH ST. NE, HILLSBORO, ND 58045 (Tel: 7016363966)

📍

Updated Business Mailing Address April 25, 2019

Registered at PO BOX 606, HILLSBORO, ND 580450606 (Tel: 7016363966)

👤

Provider Name / Credentials Updated April 25, 2019

Recorded as ANN BREEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285298240

Entity Type:

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

Enumeration Date: April 25, 2019

Last Update: March 28, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 606

Hillsboro, ND 580450606

Phone: 7014309898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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