Active NPI 1225190259 Individual Practitioner Male Practitioner

Dr. Michael T Breen , MD

Obstetrics & Gynecology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Breen, MD is a certified Obstetrics & Gynecology practicing in Austin, TX. With approximately 45 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1981, Dr. Breen delivers high-quality medical care to the local community at 911 W 38TH ST.

Dr. Breen maintains professional affiliations with The University Of Texas At Austin, Seton Family Of Doctors and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound pelvis through vagina, biopsy of uterine lining. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

911 W 38th St
Suite 202

Austin, TX 787051188

Telephone 5123248670

Fax 5123807531

Associated Practice Facility / Clinic

🏢 Rmatx.com Facility NPI 1902247125

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Obstetrics & Gynecology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +23.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

246 Specialists

Practicing in Austin, TX (3656 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breen (45 Years) 45 Yrs

Austin Specialty Average (21.6 Years) 21.6 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	29	24	$329.00	$121.10
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$210.63	$91.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$223.00	$91.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$323.86	$125.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$223.00	$92.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$329.00	$129.93
76830 Ultrasound pelvis through vagina	15	11	$381.00	$128.53
58100 Biopsy of uterine lining	13	12	$333.00	$105.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$223.00	$93.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$329.00	$125.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	25	25	$117.00	$40.92
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$216.87	$74.45
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	15	15	$137.00	$44.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	26	26	$117.00	$39.50
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$223.00	$75.31
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	21	21	$137.00	$44.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$310.31	$110.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$219.62	$67.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$319.41	$108.08
58100 Biopsy of uterine lining	15	12	$333.00	$108.83
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	14	14	$114.64	$38.08
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	12	12	$135.33	$44.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	24	$219.00	$71.72
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	18	18	$114.00	$38.33
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	16	16	$135.00	$44.93

Medical Specialties & State Licenses

Obstetrics & Gynecology Primary Specialty

NUCC Taxonomy Code: 207V00000X

State License TX F9233

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

131088009 (TX)

Hospital & Practice Group Affiliations

The University Of Texas At Austin

1601 Trinity St, Austin, TX 787121765

Phone: 8338822737

Seton Family Of Doctors

1301 W 38th St, Austin, TX 787051000

Phone: 5123248670

Seton Family Of Doctors

1400 N Ih 35 Ll, Austin, TX 787011926

Phone: 5123247300

Seton Family Of Doctors

1400 N Ih 35, Austin, TX 787011926

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Margaret Whitney , MD

Obstetrics & Gynecology

NPI 1043576127

Doctor of Medicine (M.D.)

Lauren Pokala , APRN, MSN, FNP-BC

Nurse Practitioner - Family

NPI 1083124333

Advanced Practice Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Cassandra Rodriguez , APRN, FNP-C

Nurse Practitioner - Family

NPI 1093596355

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Mary Rieger , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1134548399

Doctor of Medicine (M.D.)

Dr. Vivian Aguilar , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1144286014

Doctor of Medicine (M.D.)

Dr. Amanda White , MD

Obstetrics & Gynecology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1164642237

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 October 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2015

Registered at 911 W 38TH ST, SUITE 202, AUSTIN, TX 787051188 (Tel: 5123248670)

📍

Updated Business Mailing Address October 09, 2015

Registered at 1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 787011137 (Tel: 5123248960)

👤

Provider Name / Credentials Updated October 09, 2015

Recorded as MICHAEL BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2015

Obstetrics & Gynecology (License #F9233 in TX)

🟢

Initial NPI Registration & Enumeration December 15, 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: 1225190259

Entity Type:

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

Enumeration Date: December 15, 2006

Last Update: October 09, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1601 Rio Grande St, Suite 340

Austin, TX 787011137

Phone: 5123248960

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.