Active NPI 1740547702 Individual Practitioner Female Practitioner

Dr. Heather B. Breen , MD

Hospitalist • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Dr. Heather Breen, MD is a certified Hospitalist practicing in Beloit, WI. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Breen delivers high-quality medical care to the local community at BELOIT MEMORIAL HOSPITAL.

Dr. Breen maintains professional affiliations with Apogee Medical Group Waukesha Sc, Beaver Dam Community Hospitals Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Beloit Memorial Hospital
1969 W. Hart Road

Beloit, WI 535112230

Telephone 6083635971

Fax 6083635737

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Beloit, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -1.4 yrs vs City Avg

City Avg: 16.4 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Beloit, WI (896 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breen (15 Years) 15 Yrs

Beloit Specialty Average (16.4 Years) 16.4 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	406	178	$91.43	$69.29
99239 Hospital discharge day management, more than 30 minutes	145	141	$110.52	$100.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	91	$499.37	$155.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$244.81	$115.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	26	$114.69	$103.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	386	162	$77.40	$71.43
99239 Hospital discharge day management, more than 30 minutes	151	148	$114.36	$102.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	101	$544.44	$159.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$279.82	$118.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	42	$125.68	$107.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	341	137	$67.85	$64.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	76	$97.56	$92.77
99239 Hospital discharge day management, more than 30 minutes	124	124	$101.31	$95.54
99220 Hospital observation care, typically 70 minutes	49	49	$218.09	$162.51
99217 Hospital observation care on day of discharge	47	47	$68.11	$64.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$204.52	$179.58
99225 Subsequent observation care, typically 25 minutes per day	37	27	$67.50	$64.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	354	144	$332.67	$68.08
99239 Hospital discharge day management, more than 30 minutes	119	113	$463.70	$101.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	77	$1007.29	$191.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	62	$821.97	$128.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	43	27	$453.00	$98.81
99291 Critical care, first 30-74 minutes	43	15	$1670.00	$209.26
99219 Hospital observation care, typically 50 minutes	34	34	$485.44	$128.02
99217 Hospital observation care on day of discharge	29	27	$274.00	$69.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$236.00	$36.80
99225 Subsequent observation care, typically 25 minutes per day	20	16	$333.35	$68.71
99238 Hospital discharge day management, 30 minutes or less	13	13	$408.00	$69.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	351	146	$319.83	$70.96
99239 Hospital discharge day management, more than 30 minutes	149	137	$445.66	$104.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	127	119	$972.00	$198.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	43	$435.78	$101.71
99291 Critical care, first 30-74 minutes	54	33	$1606.00	$216.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$792.00	$134.47
99217 Hospital observation care on day of discharge	29	29	$263.00	$70.82
99219 Hospital observation care, typically 50 minutes	27	27	$467.00	$130.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$227.00	$38.31
99225 Subsequent observation care, typically 25 minutes per day	12	11	$321.00	$71.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	307	156	$287.67	$70.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	75	$392.89	$100.78
99239 Hospital discharge day management, more than 30 minutes	140	132	$416.57	$103.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	105	$840.89	$195.84
99291 Critical care, first 30-74 minutes	41	26	$1401.17	$214.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$500.89	$132.19
99217 Hospital observation care on day of discharge	33	33	$248.00	$70.83
99219 Hospital observation care, typically 50 minutes	21	21	$425.90	$131.56
99225 Subsequent observation care, typically 25 minutes per day	14	13	$278.14	$70.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	232	221	$564.97	$194.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	70	$380.27	$130.68
99220 Hospital observation care, typically 70 minutes	53	53	$476.98	$178.67
99291 Critical care, first 30-74 minutes	33	33	$803.27	$210.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	23	$201.33	$69.83
99219 Hospital observation care, typically 50 minutes	25	24	$346.80	$130.37
99239 Hospital discharge day management, more than 30 minutes	16	16	$362.81	$103.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	153	$1115.77	$183.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	109	56	$650.00	$95.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	53	$451.00	$65.37
99220 Hospital observation care, typically 70 minutes	44	42	$1099.98	$169.78
99239 Hospital discharge day management, more than 30 minutes	30	30	$670.00	$97.72
99291 Critical care, first 30-74 minutes	25	23	$1358.52	$204.05
99238 Hospital discharge day management, 30 minutes or less	22	22	$455.00	$66.39

Medical Specialties & State Licenses

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License WI 68342-20

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AR E-9421

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100073023 (WI)

Hospital & Practice Group Affiliations

Apogee Medical Group Waukesha Sc

240 Maple Ave, Mukwonago, WI 531498475

Phone: 2629280620

Apogee Medical Group Waukesha Sc

791 Summit Ave, Oconomowoc, WI 530663844

Phone: 2625604544

Beaver Dam Community Hospitals Inc.

705 S University Ave, Beaver Dam, WI 539163053

Phone: 9208877181

Beaver Dam Community Hospitals Inc.

707 S University Ave, Beaver Dam, WI 539163027

Phone: 9208877181

Apogee Medical Group Waukesha Sc

725 American Ave, Waukesha, WI 531885031

Phone: 2629285400

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Margaret Pearsall , MD

Hospitalist

NPI 1023055910

Doctor of Medicine (M.D.)

Dr. George Jones , MD

Internal Medicine

NPI 1053329714

Doctor of Medicine (M.D.)

Dr. Nicole Hemkes , MD

Hospitalist

NPI 1083743637

Doctor of Medicine (M.D.)

Dr. Brandon Pelletier , MD

Hospitalist

NPI 1114414307

Doctor of Medicine (M.D.)

Ruth Taggart , NP

Nurse Practitioner

NPI 1154520195

Nurse Practitioner

Dr. Mallika Patel , MD

Hospitalist

NPI 1265057426

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 03, 2019

Registered at BELOIT MEMORIAL HOSPITAL, 1969 W. HART ROAD, BELOIT, WI 535112230 (Tel: 6083635971)

📍

Updated Business Mailing Address May 03, 2019

Registered at BELOIT HEALTH SYSTEM INC., 1905 E. HUEBBE PARKWAY, BELOIT, WI 535111842 (Tel: 6083642200)

✅

NPI Profile Active October 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2015

Registered at 601 W MAPLE AVE, STE 704, SPRINGDALE, AR 727645335 (Tel: 4797575282)

📍

Updated Business Mailing Address October 19, 2015

Registered at PO BOX 9158, BELFAST, ME 049159158 (Tel: 8778481463)

👤

Provider Name / Credentials Updated October 19, 2015

Recorded as HEATHER BREEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Internal Medicine (License #E-9421 in AR)

🟢

Initial NPI Registration & Enumeration April 16, 2012

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: 1740547702

Entity Type:

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

Enumeration Date: April 16, 2012

Last Update: May 03, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Beloit Health System Inc., 1905 E. Huebbe Parkway

Beloit, WI 535111842

Phone: 6083642200

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.