Dr. Don Breckbill, MD
1821 S Stoughton Rd, Madison, WI 53716 • +1-281-555-3317
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1295779064 • CBSA Regional • Family Practice
Anchored in Madison, WI 53716, Dr. Don Breckbill, MD (NPI 1295779064) logged 2,347 annual procedures (upper-quartile active clinical volume (77.03th Madison percentile), 77.65th WI percentile, +0.10σ) with sub-specialty concentration in 48 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1295779064 highlights 153 annual claims for 99214 (77.03th Madison percentile; $43–$60 self-pay corridor) plus 113 encounters under 99213 and 44 under G0439.
Cash-pay intake data for NPI 1295779064 (1821 S Stoughton Rd, Madison) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.78/5 biomarker openness.
Credentialed as an MD specialist with 8 years post-graduation experience since completing medical school at an LCME/COCA institution (2018), Dr. Breckbill coordinates 48 Active CMS HCPCS Codes workups from 1821 S Stoughton Rd (+1-281-555-3317).
Compared against Madison, WI Family Practice peers
2,347 annual services across 265 beneficiaries
Standard deviations from WI Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 153 | 77.03th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 113 | 82.03th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 44 | 73.03th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 33 | 75.03th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 22 | 75.03th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (48 HCPCS billing breadth) | 1,982 | 77.03th | $45 – $65 |
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Dr. Don Breckbill, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Breckbill National Provider Identifier | NPI #1295779064 (MD) | CMS NPPES Registry (53716) |
| Dr. Breckbill Madison CMS Volume Rank | 77.03th Pct (2,347 CMS svcs; Z +0.097σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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