Physician

Jamielou Custodio Breckenridge, MD

According to 2025 Medicare claims, Jamielou Breckenridge, MD (NPI: 1679010896) practices general surgery in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Hampshire, WV. This provider's primary affiliated billing organization is VALLEY PHYSICIAN ENTERPRISE, INC (NPI: 1538316203; TIN: 262767279) and primary practice location at 22601-2808. Breckenridge is affiliated with the Sentara Accountable Care Organization, LLC (ACO ID: A4868) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Breckenridge's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 53 traditional Medicare patients, billed 76 HCPCS/CPT codes, and received $8,165 in Medicare payments. The top billing code was 99221 (Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes). Part D data shows 16 prescription claims totaling $5,322 in drug costs. Open Payments data shows 1 records totaling $31. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$4.1K$8.2K2024 Medicare payment: $8,165 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20245376$8,165

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.7K$5.3K2021 Drug cost: $1,158 (USD; Tot_Drug_Cst)2024 Drug cost: $5,322 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211533$1,158
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R16$5,322

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2828$61
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1720$38

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$31TELA Bio, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jamielou Custodio Breckenridge, MD?

Tedicare shows public-source Medicare data for Jamielou Custodio Breckenridge, MD (NPI 1679010896), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jamielou Custodio Breckenridge, MD have ACO affiliation data?

Jamielou Custodio Breckenridge, MD is shown with ACO affiliation data for Sentara Accountable Care Organization, LLC (MSSP, ACO ID A4868) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jamielou Custodio Breckenridge, MD?

Jamielou Custodio Breckenridge, MD is linked to VALLEY PHYSICIAN ENTERPRISE, INC (billing NPI 1538316203) in the available physician profile data.

Does Jamielou Custodio Breckenridge, MD have Open Payments data?

Jamielou Custodio Breckenridge, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.