DR. DOROTHY BREAULT (M.D.) – Family Medicine Physician, NPI 1245458256

DR. DOROTHY BREAULT (M.D.) is a healthcare provider. based in Concordia, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0434629 (KS). The NPI Number for DR. DOROTHY BREAULT (M.D.) is 1245458256

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOROTHY BREAULT (M.D.)
NPI
1245458256
Phone
(785) 243-4272
Address
1100 HIGHLAND DR
Enumeration Date
23 April 2007
Last Update Date
20 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7852434272
Graduation Year
2007 (19 years ago)
PAC ID
2769678499
Group Practice PAC ID
4082522859
Professional Enrollment ID
I20101120000067
Address ID
KS669389664CL311XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. DOROTHY BREAULT (M.D.)

  • 1100 HIGHLAND DR

    3RD FLOOR

    CONCORDIA, KS 669013923

    Phone: (785) 243-4272

    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 39 Open Payments records for all available years, with a total value of $685.

Total Amount is formed as General ($685) + Research ($0) + Ownership ($0) = $685.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($239).

Total Amount

$685

General + Research + Ownership

Payments

39

Total payment records

General Amount

$685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-20

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
I20101120000067IFamily PracticeKSTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month12018$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6132$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5726$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5611$0
99239Hospital discharge day management, more than 30 minutes3431$0
View full utilization report →

Insurance plans in this area (ZIP 66901)

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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: 4082522859View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Rheumatology, Allergy/Immunology, Internal Medicine, RheumatologyKS
Physician AssistantKS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS

Reviews

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Frequently asked questions

How is DR. DOROTHY BREAULT (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. DOROTHY BREAULT (M.D.) with NPI 1245458256.
Can I rely on DR. DOROTHY BREAULT (M.D.) being an active provider?
As of the registry snapshot, DR. DOROTHY BREAULT (M.D.) is marked active.
What taxonomy line describes DR. DOROTHY BREAULT (M.D.)?
For research purposes, treat DR. DOROTHY BREAULT (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DOROTHY BREAULT (M.D.)?
DR. DOROTHY BREAULT (M.D.)'s geographic hint is Concordia, Kansas in our summary view.
Why does DR. DOROTHY BREAULT (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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