Don Breckbill, MD
NPI 1295779064 · Emergency Medicine Physician · Madison, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Don Breckbill, MD is a Emergency Medicine Physician provider in Madison, WI (NPI 1295779064).
Provider details
- NPI number
- 1295779064
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36168-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
290 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 105 | $84 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 43 | $104 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $120 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 38 | $3 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 15 | $9 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 22 | 22 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 20 | 19 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Cephalexin | 19 | 19 |
| Prednisone | 13 | 13 |
| Cefdinir | 12 | 12 |
| Cyclobenzaprine Hcl | 11 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1821 S Stoughton RdMadison, WI 53716Phone: (608) 260-6000Fax: (608) 260-6161
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Frequently asked questions
- What is Don Breckbill's NPI number?
- Don Breckbill's National Provider Identifier (NPI) is 1295779064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Don Breckbill's specialty?
- Don Breckbill is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Don Breckbill located?
- Don Breckbill's practice location on file with NPPES is 1821 S Stoughton Rd, Madison, WI 53716.
- What is Don Breckbill's phone number?
- The practice phone number listed in the NPPES registry for Don Breckbill is (608) 260-6000.
- Does Don Breckbill accept Medicare?
- Don Breckbill is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Don Breckbill's NPI active?
- Yes — Don Breckbill's NPI (1295779064) is active in the NPPES registry as of the last update on 2020-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.