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Anita L Breckenridge, MD

Ophthalmology · Los Gatos

NPI 1396841037

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
14
3 carriers
Office
1

Offices

1 location

Looking this up.

Plans that list them

14 plans · 3 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Breckenridge’s office at (408) 399-9009 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

14 of 14 plans

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Harmony (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health Silicon (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health the ONE (HMO)Alignment Health PlanListedOct 3, 2026
Blue Shield Inspire (HMO)Blue Shield of CaliforniaListedAug 26, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A87685 · Current

Licensed to practise in California · since 2004 · expires 2028-05-31 · Howard University College of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$8,322

Medicare paid this office $8,322 for 33 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Exam to measure eye deviation and range of motion30$2,233$62
New patient visit (60+ min)12$2,113$176
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or17$590$30

Who their Medicare patients are

33 Original Medicare patients in 2024. Average age 75 · Women 55% · Health risk score 0.89. At or below the middle of the specialty; the typical ophthalmology clinician is at 1.16.

Conditions among them: High blood pressure 73%.

The office billed $14,940, Medicare allowed $11,789 and paid $8,322; for 96 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20243396750.89$14,940$8,322
20233691740.72$14,164$8,775
20223182741.06$12,289$6,826
20213275771.10$11,273$6,975
20203284751.17$12,891$7,495
201940118731.09$21,547$11,254
201836128730.98$31,801$14,355
20173893751.27$16,691$8,196
20162682751.47$16,483$8,376
20152154740.78$10,463$5,662
20142895781.13$15,121$8,557
20132072741.46$16,217$8,778

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Exam to measure eye deviation and range of motion33$2,438$64

2022: 3 services

Original Medicare services billed in 2022
Exam to measure eye deviation and range of motion31$2,430$61
Return visit (30+ min)14$1,502$107
Established patient problem focused exam of visual system12$998$83

2021: 3 services

Original Medicare services billed in 2021
Exam to measure eye deviation and range of motion32$2,331$63
New patient visit (45+ min)12$1,932$161
Return visit (30+ min)11$1,364$105

2020: 3 services

Original Medicare services billed in 2020
Exam to measure eye deviation and range of motion29$2,457$61
New patient visit (45+ min)14$2,160$154
Return visit (30+ min)13$1,841$97

2019: 3 services

Original Medicare services billed in 2019
Exam to measure eye deviation and range of motion36$3,228$62
Return visit (30+ min)21$2,777$96
New patient visit (45+ min)19$2,490$131

2018: 3 services

Original Medicare services billed in 2018
Exam to measure eye deviation and range of motion30$3,415$60
Return visit (30+ min)17$2,096$84
New patient visit (45+ min)17$1,886$111

2017: 3 services

Original Medicare services billed in 2017
New patient visit (45+ min)20$2,758$138
Exam to measure eye deviation and range of motion33$2,487$58
Return visit (30+ min)17$1,614$70

2016: 3 services

Original Medicare services billed in 2016
Exam to measure eye deviation and range of motion26$2,458$61
New patient visit (45+ min)12$1,799$150
Return visit (30+ min)11$1,246$78

2015: 3 services

Original Medicare services billed in 2015
New patient visit (45+ min)12$1,813$151
Exam to measure eye deviation and range of motion21$1,627$63
Return visit (30+ min)11$1,103$92

2014: 3 services

Original Medicare services billed in 2014
Exam to measure eye deviation and range of motion25$2,580$63
Return visit (30+ min)16$2,302$100
New patient visit (45+ min)11$1,670$152

2013: 1 service

Original Medicare services billed in 2013
Exam to measure eye deviation and range of motion19$1,999$64

Money from drug and device companies

$181 in 2025

Industry payments by year
202522None$181
202422None$45
202222None$140
202124None$73
201911None$12

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Visioneering TechnologiesNone$152
1 payment
  • Meals · 2025-07-28 · $152
Dompe USOxervate$30
1 payment
  • Meals for Oxervate · 2025-08-14 · $30
See all 2 published payments
Every published payment
Dompe USMeals · 2025-08-14Oxervate$30
Visioneering TechnologiesMeals · 2025-07-28None$152
See earlier years (2024, 2022, 2021, 2019)

2024: $45

Payments by company in 2024
Kedrion BiopharmaAlbuked$31
1 payment
  • Meals for Albuked · 2024-11-01 · $31
Bausch & Lomb AmericasInfuse$14
1 payment
  • Meals for Infuse · 2024-09-03 · $14

2022: $140

Payments by company in 2022
HeruHeru Hmd$103
1 payment
  • Meals for Heru Hmd · 2022-07-25 · $103
CooperVisionMisight Contact Lens$37
1 payment
  • Meals for Misight Contact Lens · 2022-02-10 · $37

2021: $73

Payments by company in 2021
Eyevance PharmaceuticalsNatacyn$59
3 payments
  • Meals for Natacyn · 2021-12-16 · $25
  • Meals for Tobradex St · 2021-12-02 · $20
  • Meals for Zerviate · 2021-10-27 · $15
CooperVisionMisight Contact Lens$14
1 payment
  • Meals for Misight Contact Lens · 2021-02-16 · $14

2019: $12

Payments by company in 2019
Visioneering TechnologiesNone$12
1 payment
  • Meals · 2019-02-27 · $12

Professional record

NPI
1396841037
Licence
CA A87685California A87685: Current · expires 2028-05-31
Trained
Howard University College of Medicine, 1994
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207W00000X (207W00000X); Federal specialty code 207WX0110X (207WX0110X)
Mailing address
250 Almendra Ave, Los Gatos, CA, 95030
NPI first listed
2006-09-16
NPI last updated
2020-04-20
NPI record certified
2020-04-20

This is when the NPI record was last certified, not a medical board exam.