Active NPI 1720044472 Individual Practitioner Male Practitioner

Dr. Karl Heinz Breuing , MD

Plastic Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Karl Breuing, MD is a certified Plastic Surgery practicing in Providence, RI. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Breuing delivers high-quality medical care to the local community at 235 PLAIN ST.

Dr. Breuing is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

235 Plain St
Ste 501

Providence, RI 029053240

Telephone 4014445495

Fax 4014445716

Associated Practice Facility / Clinic

🏢 Neurosurgical Care, Llc Facility NPI 1134106719

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +23.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Providence, RI (31 Statewide)

Telehealth Adoption Rate

4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breuing (46 Years) 46 Yrs

Providence Specialty Average (22.8 Years) 22.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$260.00	$129.17

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	18	14	$252.00	$132.44
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$161.00	$94.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$161.00	$95.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$238.00	$117.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$155.74	$77.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$241.85	$113.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$228.83	$112.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	39	$147.53	$73.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	15	$227.00	$112.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$136.89	$66.34
11042 Removal of skin and tissue, 20.0 sq cm or less	27	12	$148.00	$65.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$88.35	$35.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	33	$130.39	$61.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$93.00	$35.85

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License RI MD14821

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1720044472 (RI)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

235 Plain St, Providence, RI 029053243

Phone: 4014445495

Practice Associates & Co-Workers

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

6 Associated Practitioners

Cassidy Chiu

Physician Assistant

NPI 1346068509

Dr. Daniel Kwan , MD

Plastic Surgery

NPI 1518114859

Doctor of Medicine (M.D.)

Dr. Amy Maselli , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1740547405

Doctor of Medicine (M.D.)

Stephanie Barrena , PA-C

Physician Assistant - Surgical

NPI 1740666023

Physician Assistant (Certified)

Bonnie Blaney , NP

Nurse Practitioner - Acute Care

NPI 1780299594

Nurse Practitioner

Dr. Franca Kraenzlin , MD

Plastic Surgery - Surgery of the Hand

NPI 1962865014

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 April 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2015

Registered at 235 PLAIN ST, STE 501, PROVIDENCE, RI 029053240 (Tel: 4014445495)

📍

Updated Business Mailing Address April 28, 2015

Registered at 117 ELLEFIELD STREET, SUITE 101, PROVIDENCE, RI 029054513 (Tel: 4014444318)

👤

Provider Name / Credentials Updated April 28, 2015

Recorded as KARL BREUING, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2015

Plastic Surgery (License #MD14821 in RI)

🟢

Initial NPI Registration & Enumeration April 21, 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: 1720044472

Entity Type:

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

Enumeration Date: April 21, 2006

Last Update: April 28, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

117 Ellefield Street, Suite 101

Providence, RI 029054513

Phone: 4014444318

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.