KENNETH E BREEDLOVE (MD) – Diagnostic Radiology Physician, NPI 1699752212
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Loading map...
Provider Addresses for KENNETH E BREEDLOVE (MD)
San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico
SAN ANGELO, TX 769027200
Phone: (325) 658-1511
Type: Mailing
120, East Beauregard Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States
SAN ANGELO, TX 769035919
Phone: (325) 658-1511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Cook Medical LLC ($79).
Total Amount
$79
General + Research + Ownership
Payments
2
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Medical LLC | $79 |
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: 2007-05-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070510000442 | I | Diagnostic Radiology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 556 | 397 | $0 |
| 70450 | Ct scan head or brain without contrast | 368 | 334 | $0 |
| 73564 | X-ray of knee, 4 or more views | 336 | 296 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 249 | 249 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 207 | 173 | $0 |
Insurance plans in this area (ZIP 76902)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 43 | 34 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 78 | 77 |
| DIAGNOSTIC RADIOLOGY | TX | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 221 | 175 |
| DIAGNOSTIC RADIOLOGY | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 79 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | OR | |
| - | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.