Deactivated NPI 1124148846 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Robert Breen , MD

Internal Medicine - Geriatric Medicine • Independence, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Breen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2007

NPI Deactivation Date February 21, 2024

Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Breen, MD was a registered Internal Medicine - Geriatric Medicine practicing in Independence, OH. Throughout an active medical career spanning 17 years, Dr. Breen provided care at the practice location at 6801 BRECKSVILLE RD until profile deactivation on 2024-02-21.

Historical Medicare Part B clinical services included residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6801 Brecksville Rd
Suite 10/rk30

Independence, OH 441315032

Telephone 2166368742

Fax 2166367877

Associated Practice Facility / Clinic

🏢 Cleveland Clinic Foundation Cleveland Clinic Home Care Facility NPI 1225009442

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Geriatric Medicine in Independence, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.0 Yrs

State Avg: 31.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Independence, OH (140 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.3% 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	115	53	$750.00	$93.85
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	102	60	$1057.00	$122.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	66	26	$164.00	$38.97
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif	44	28	$221.00	$29.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	31	$243.00	$49.31
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	20	11	$273.00	$64.30
G0008 Administration of influenza virus vaccine	18	18	$38.50	$29.36
90662 Influenza vaccine split virus, preservative free	17	17	$91.59	$71.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$450.00	$49.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	98	55	$961.00	$145.81
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	77	33	$149.00	$39.14
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	73	51	$682.00	$109.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	57	$221.00	$50.82
99358 Prolonged patient service without direct patient contact first hour	40	35	$614.00	$107.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$665.00	$161.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$409.00	$106.84
G0008 Administration of influenza virus vaccine	23	23	$36.00	$27.97
99336 Established patient assisted living visit, typically 40 minutes	22	19	$721.00	$113.96
90662 Influenza vaccine split virus, preservative free	21	21	$82.00	$68.38
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	19	19	$1271.00	$211.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	112	65	$933.00	$174.11
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	86	28	$149.00	$39.53
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	80	59	$662.00	$125.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	76	51	$221.00	$51.09
99442 Telephone medical discussion with physician, 11-20 minutes	59	44	$165.00	$89.00
99336 Established patient assisted living visit, typically 40 minutes	47	27	$700.00	$132.02
99443 Telephone medical discussion with physician, 21-30 minutes	34	23	$248.00	$126.88
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	28	28	$1213.00	$215.71
99335 Established patient assisted living visit, typically 25 minutes	26	15	$482.00	$93.14
G0008 Administration of influenza virus vaccine	26	26	$35.00	$16.18
99354 Prolonged office or other outpatient service first hour	22	21	$505.00	$116.96
90662 Influenza vaccine split virus, preservative free	21	21	$82.00	$64.85
99337 Established patient assisted living visit, typically 60 minutes	21	15	$1020.00	$189.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$646.00	$163.35
99441 Telephone medical discussion with physician, 5-10 minutes	17	13	$81.00	$54.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$397.00	$128.66
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	14	14	$80.00	$37.98
99358 Prolonged patient service without direct patient contact first hour	11	11	$596.00	$109.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	117	68	$643.00	$126.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	99	31	$149.00	$39.30
99442 Telephone medical discussion with physician, 11-20 minutes	97	65	$159.37	$71.68
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	90	59	$221.00	$51.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	12	$5.27	$1.51
99443 Telephone medical discussion with physician, 21-30 minutes	74	54	$233.08	$104.09
99335 Established patient assisted living visit, typically 25 minutes	74	30	$468.00	$94.27
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	58	30	$906.00	$177.26
99336 Established patient assisted living visit, typically 40 minutes	39	26	$680.00	$133.12
99441 Telephone medical discussion with physician, 5-10 minutes	36	32	$80.33	$43.94
G0008 Administration of influenza virus vaccine	33	33	$34.00	$16.07
90662 Influenza vaccine split virus, preservative free	30	30	$82.00	$60.98
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	19	19	$1198.00	$219.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$627.00	$164.50
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	13	$234.00	$83.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$385.00	$110.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	171	89	$624.00	$126.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	102	38	$149.00	$39.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	101	67	$221.00	$51.65
99336 Established patient assisted living visit, typically 40 minutes	85	42	$660.00	$133.93
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	69	49	$880.00	$177.16
99335 Established patient assisted living visit, typically 25 minutes	61	26	$454.00	$93.94
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	48	48	$1163.00	$217.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$391.41	$112.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$609.00	$167.38
G0008 Administration of influenza virus vaccine	21	21	$33.00	$15.75
90662 Influenza vaccine split virus, preservative free	21	21	$82.00	$54.89
G0009 Administration of pneumococcal vaccine	16	16	$13.00	$12.74
99354 Prolonged office or other outpatient service first hour	14	14	$476.00	$123.78
90670 Pneumococcal vaccine for injection into muscle	13	13	$487.25	$211.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	144	62	$606.00	$125.79
99335 Established patient assisted living visit, typically 25 minutes	97	46	$441.00	$92.73
99336 Established patient assisted living visit, typically 40 minutes	92	46	$641.00	$132.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	71	24	$149.00	$39.74
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	46	$221.00	$51.54
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	66	41	$854.00	$174.84
99306 Initial nursing facility visit, typically 45 minutes per day	56	53	$737.00	$163.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$591.00	$165.16
G0008 Administration of influenza virus vaccine	22	22	$33.00	$19.30
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	20	20	$1129.00	$217.24
90662 Influenza vaccine split virus, preservative free	19	19	$79.00	$52.30
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	13	11	$200.00	$82.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	129	53	$587.74	$123.65
99306 Initial nursing facility visit, typically 45 minutes per day	121	102	$715.31	$162.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	78	56	$221.00	$51.02
99335 Established patient assisted living visit, typically 25 minutes	75	36	$428.00	$91.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	47	21	$149.00	$38.95
99336 Established patient assisted living visit, typically 40 minutes	46	26	$621.61	$130.15
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	34	34	$1094.12	$213.65
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	34	19	$829.00	$168.98
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	32	32	$874.00	$179.60
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	30	18	$259.00	$57.60
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	29	19	$193.79	$81.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	15	$392.00	$88.41

Medical Specialties & State Licenses

Internal Medicine - Geriatric Medicine Primary Specialty

NUCC Taxonomy Code: 207RG0300X

State License OH 35089927

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Robert Crook , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1043426844

Doctor of Medicine (M.D.)

Mary Taha , LISW

Social Worker - Clinical

NPI 1043585763

Licensed Independent Social Worker

Dr. Ethel Smith , MD

Family Medicine - Geriatric Medicine

NPI 1184665408

Doctor of Medicine (M.D.)

Patricia Travis , CNP

Nurse Practitioner

NPI 1184853780

Certified Nurse Practitioner

Kathleen Tavernelli , CNP, CWOCN

Nurse Practitioner - Adult Health

NPI 1194168674

Certified Nurse Practitioner, CWOCN

Petique Oeflein , RN, CNP

Nurse Practitioner - Family

NPI 1326358722

Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated February 21, 2024

Record deactivated on February 21, 2024

✅

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2016

Registered at 6801 BRECKSVILLE RD, SUITE 10/RK30, INDEPENDENCE, OH 441315032 (Tel: 2166368742)

📍

Updated Business Mailing Address September 02, 2016

Registered at 6801 BRECKSVILLE ROAD, STE 10/RK30, CLEVELAND CLINIC MEDICAL CARE AT HOME, INDEPENDENCE, OH 441315057 (Tel: 2166368742)

👤

Provider Name / Credentials Updated September 02, 2016

Recorded as THOMAS BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Internal Medicine (License #35089927 in OH)

🟢

Initial NPI Registration & Enumeration March 29, 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: 1124148846

Entity Type:

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

Enumeration Date: March 29, 2007

Last Update: September 02, 2016

Deactivation Date: February 21, 2024

Update or Correct Profile

Mailing Address

6801 Brecksville Road, Ste 10/rk30, Cleveland Clinic Medical Care At Home

Independence, OH 441315057

Phone: 2166368742

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

⚠️ Medical Disclaimer

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