Shane Breeze-Baldauf
NPI 1891159612 · Family Medicine Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Breeze-Baldauf is a Family Medicine Physician provider in Milwaukee, WI (NPI 1891159612).
Provider details
- NPI number
- 1891159612
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 68339 (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
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
121 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 42 | $121 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 35 | $168 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 27 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $85 |
Typical Medicare-allowed amounts for these services range $85–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 102 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 320 | 75 |
| Gabapentin | 170 | 30 |
| Amlodipine Besylate | 168 | 48 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 160 | 42 |
| Pantoprazole Sodium | 149 | 37 |
| Oxycodone Hcl | 143 | 13 |
Practice location
Mailing address
Additional practice locations (2)
- 8701 W Watertown Plank RdMilwaukee, WI 53226-3548Phone: (414) 955-4575
- 8701 W Watertown Plank RdMilwaukee, WI 53226-3548Phone: (414) 955-4575
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2021-11-24
- Certified
- 2021-11-24
Frequently asked questions
- What is Shane Breeze-Baldauf's NPI number?
- Shane Breeze-Baldauf's National Provider Identifier (NPI) is 1891159612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Breeze-Baldauf's specialty?
- Shane Breeze-Baldauf is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shane Breeze-Baldauf located?
- Shane Breeze-Baldauf's practice location on file with NPPES is 1575 N Rivercenter Dr, Milwaukee, WI 53212.
- What is Shane Breeze-Baldauf's phone number?
- The practice phone number listed in the NPPES registry for Shane Breeze-Baldauf is (414) 283-8444.
- Does Shane Breeze-Baldauf accept Medicare?
- Shane Breeze-Baldauf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Breeze-Baldauf's NPI active?
- Yes — Shane Breeze-Baldauf's NPI (1891159612) is active in the NPPES registry as of the last update on 2021-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.