HOMER ELMER III BRECKENRIDGE (MD) – Surgery Physician, NPI 1649371790

HOMER ELMER III BRECKENRIDGE (MD) is a healthcare provider. based in Donalsonville, Georgia. specializing in GENERAL SURGERY, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 019644 (GA). The NPI Number for HOMER ELMER III BRECKENRIDGE (MD) is 1649371790

Main info

Male
49 Years Of Experience
Name
HOMER ELMER III BRECKENRIDGE (MD)
NPI
1649371790
Phone
(229) 524-2808
Address
804 N WILEY AVE
Enumeration Date
25 September 2006
Last Update Date
5 December 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
2295241307
Graduation Year
1977 (49 years ago)
PAC ID
7113948480
Group Practice PAC ID
9739457896
Professional Enrollment ID
I20070417000492
Address ID
GA398451120DO804XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for HOMER ELMER III BRECKENRIDGE (MD)

  • North Wiley Avenue, Donalsonville, Seminole County, Georgia, 31745, United States

    DONALSONVILLE, GA 398451120

    Phone: (229) 524-2808

    Fax: (229) 524-1272

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $476.

Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novo Nordisk Inc ($176).

Total Amount

$476

General + Research + Ownership

Payments

26

Total payment records

General Amount

$476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070417000492IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test7844$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3619$0
99238Hospital discharge day management, 30 minutes or less2018$0
45380Biopsy of large bowel using a flexible endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 39845)

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Provider's Procedures

HOMER ELMER III BRECKENRIDGE (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYGA85610Blood test, clotting time2712

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739457896View full group profile
NameSpecialtyState
-GA
Family PracticeGA
General Surgery, General PracticeGA
Nurse PractitionerGA
General SurgerySC

Reviews

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Frequently asked questions

Can I use this page to confirm HOMER ELMER III BRECKENRIDGE (MD)'s NPI?
Yes. HOMER ELMER III BRECKENRIDGE (MD) is listed with NPI 1649371790 in the public NPI dataset.
Does CMS list HOMER ELMER III BRECKENRIDGE (MD) as active?
Yes — HOMER ELMER III BRECKENRIDGE (MD) is active in the NPI listing used on this page.
What taxonomy line describes HOMER ELMER III BRECKENRIDGE (MD)?
For research purposes, treat HOMER ELMER III BRECKENRIDGE (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect HOMER ELMER III BRECKENRIDGE (MD) on a map?
Expect Donalsonville, Georgia as a primary anchor for HOMER ELMER III BRECKENRIDGE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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