Active NPI 1013983915 Individual Practitioner Male Practitioner

Dr. Todd F Breaux , MD

Urology • Akron, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Breaux, MD is a certified Urology practicing in Akron, OH. With approximately 28 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1998, Dr. Breaux delivers high-quality medical care to the local community at 95 ARCH ST.

Dr. Breaux is affiliated with Cleveland Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, 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

95 Arch St
Suite 165

Akron, OH 443041437

Telephone 3303754848

Fax 3303764066

Associated Practice Facility / Clinic

🏢 Akron Vascular Associates Inc Facility NPI 1114914025

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Akron, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Akron, OH (564 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breaux (28 Years) 28 Yrs

Akron Specialty Average (23.8 Years) 23.8 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	274	245	$423.00	$62.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	120	$624.00	$91.91
52000 Diagnostic exam of bladder and urethra using an endoscope	82	68	$650.00	$75.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$520.00	$77.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$845.00	$126.85
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	32	32	$140.00	$15.49
52204 Biopsy of the bladder using an endoscope	21	16	$842.00	$133.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$917.00	$123.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$910.00	$136.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	300	276	$271.87	$63.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	109	$419.00	$91.94
52000 Diagnostic exam of bladder and urethra using an endoscope	71	67	$717.00	$75.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$351.00	$79.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$603.00	$126.89
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$1088.00	$128.95
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$3146.00	$402.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	312	292	$246.69	$65.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	137	$380.73	$95.54
52000 Diagnostic exam of bladder and urethra using an endoscope	70	65	$652.00	$78.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$319.00	$82.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$548.00	$132.92
55700 Biopsy of prostate gland	22	22	$825.00	$127.37
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$221.00	$30.37
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$1097.00	$39.10
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$4600.00	$635.65
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$696.00	$101.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	286	$239.45	$66.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	153	$369.69	$96.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$319.00	$82.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$548.00	$134.86
52000 Diagnostic exam of bladder and urethra using an endoscope	50	45	$652.00	$79.95
55700 Biopsy of prostate gland	14	14	$825.00	$123.53
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$221.00	$29.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$931.00	$112.50
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$652.00	$65.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	354	301	$232.56	$50.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	90	$358.64	$77.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$319.00	$74.52
52000 Diagnostic exam of bladder and urethra using an endoscope	46	43	$672.00	$79.95
99442 Telephone medical discussion with physician, 11-20 minutes	30	26	$151.13	$49.83
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$520.00	$101.07
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$2816.00	$411.40
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$931.00	$108.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	344	$226.00	$50.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$319.00	$74.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	69	$349.00	$78.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	41	$353.04	$72.10
52000 Diagnostic exam of bladder and urethra using an endoscope	44	43	$693.00	$82.33
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$511.56	$100.70
50590 Shock wave crushing of kidney stones	20	18	$3224.00	$575.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	17	$1040.53	$132.57
55700 Biopsy of prostate gland	13	12	$825.00	$132.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	420	361	$136.71	$48.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	109	$262.51	$73.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$214.83	$72.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	60	$178.29	$69.23
52000 Diagnostic exam of bladder and urethra using an endoscope	38	37	$387.03	$79.92
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$239.28	$94.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	13	$801.53	$120.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$456.57	$123.03
55700 Biopsy of prostate gland	11	11	$567.00	$127.70
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$379.45	$92.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	575	449	$99.00	$63.06
81003 Automated urinalysis test	187	163	$5.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	93	$147.00	$95.98
36415 Insertion of needle into vein for collection of blood sample	70	65	$12.00	$2.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$148.00	$88.62
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$141.00	$96.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	26	$56.00	$37.28
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$217.00	$97.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$711.68	$138.73
51798 Ultrasound measurement of bladder capacity after voiding	18	17	$32.00	$16.72
76872 Ultrasound scan of pelvic region through rectum	14	14	$70.00	$31.87
55700 Biopsy of prostate gland	13	13	$352.00	$122.29
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$77.75	$30.90
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$290.00	$119.95
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$217.00	$93.03

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35.078667B

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2413767 (OH)

Commercial Insurance / Payer ID Partners Physician Group Type 2 Npi #

1841239274 (OH)

Commercial Insurance / Payer ID Partners Physician Group Medicaid Group #

2551671 (OH)

Commercial Insurance / Payer ID Partners Physician Group Medicare Group #

9338635 (OH)

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2164448530

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. John Wegryn , MD

Urology

NPI 1063489979

Doctor of Medicine (M.D.)

Diane Kovachik , PA

Physician Assistant

NPI 1346388386

Physician Assistant

Dr. Brian Canterbury , MD

Urology

NPI 1528258423

Doctor of Medicine (M.D.)

Dr. Kevin Spear , MD

Urology

NPI 1780651687

Doctor of Medicine (M.D.)

Dr. Joseph Dankoff , MD

Urology

NPI 1831166727

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 January 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2013

Registered at 95 ARCH ST, SUITE 165, AKRON, OH 443041437 (Tel: 3303754848)

📍

Updated Business Mailing Address January 25, 2013

Registered at 320 W EXCHANGE ST, AKRON, OH 443021709 (Tel: 3305354428)

👤

Provider Name / Credentials Updated January 25, 2013

Recorded as TODD BREAUX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2013

Urology (License #35.078667B in OH)

🟢

Initial NPI Registration & Enumeration February 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013983915

Entity Type:

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

Enumeration Date: February 28, 2006

Last Update: January 25, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

320 W Exchange St

Akron, OH 443021709

Phone: 3305354428

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.