Dr. Thomas Sean McBreen, MD

  • Ventura, CA
  • Family medicine physician
NPI1275605578PAC ID6800074972
Medicare services, 2024
1,740
Medicare patients, 2024
286
Part D claims, 2024
6,025
MIPS score, 2024
75
Hospital affiliations
1
Practice address
147 North Brent Street, Ventura, CA 93003
Practice phone
Call (805) 652-5011
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Community Memorial Hospital - Ventura

Hospital · Ventura, California

See all 6 affiliations

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Dr. Thomas Sean McBreen is a family medicine physician in Ventura, California

Dr. McBreen practices at Community Memorial Hospital - Ventura in Ventura, California, part of Community Memorial Healthcare.

Dr. McBreen's NPI, 1275605578, was assigned on November 14, 2006. Dr. McBreen graduated from Keck School of Medicine of USC in 1979. Dr. McBreen holds California license G42708.

NPI and contact details
Medicare PAC ID
6800074972
NPI enumeration date
November 14, 2006
NPI status
Active
Practice phone
(805) 652-5011
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
73
Medical school graduation
1979

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Dr. Thomas Sean McBreen practices at Community Memorial Hospital - Ventura in Ventura, California

Dr. McBreen's primary practice is Community Memorial Hospital - Ventura, at 147 North Brent Street, Ventura, CA 93003 in Ventura County. The practice phone is (805) 652-5011.

Source: Dmand AI Affiliation Data

Dr. Thomas Sean McBreen is affiliated with 5 sites of care and 1 medical group

Dr. McBreen's primary practice is Community Memorial Hospital - Ventura in Ventura, California, part of Community Memorial Healthcare. The medical group on file is Community Memorial Healthcare. Dmand AI also links Dr. McBreen to 3 more home health agencies and 1 group practice or clinic, each named with a free account. Dr. McBreen's employer is on file too: a hospital.

See all 6 affiliations for Dr. McBreen

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Thomas Sean McBreen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. McBreen practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Community Memorial Hospital - VenturaAvailable with a free account
+4 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Thomas Sean McBreen is one of 15,680 family medicine physicians in California

Family medicine is Dr. McBreen's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. McBreen is board certified in family medicine by the National Board of Physicians and Surgeons. Dr. McBreen is licensed in California.

Specialties and state licenses

  • Family medicine, CaliforniaPrimaryLicense G42708 · 1980 to 2027 · taxonomy 207Q00000X

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, acute kidney failure, acute mini-stroke (TIA), acute sinusitis, acute skin infection, ADHD and anxiety among the conditions Dr. McBreen treats.

Family medicine physicians near Dr. McBreen

Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Thomas Sean McBreen billed Medicare for 1,740 services in 2024

CMS data shows 1,740 Medicare services from Dr. McBreen across 9 procedure codes in 2024, for 286 Medicare patients. Medicare paid $104,162 for them. Every service was in an office.

Medicare services, 20241,740
Medicare patients286
Paid by Medicare$104,162
Procedure codes9

Dr. McBreen's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,3062024: 1,3866%
Drugs given in the office
2023: 3132024: 14853%
Tests and treatments
2023: 1312024: 10222%
Other services
2023: 982024: 7721%
Surgery
2023: 962024: 2772%

Dr. McBreen compared with the California median for family medicine physicians, 2024

  • Dr. McBreen
  • California median
Medicare services
1,740vs 2467.1 times
Medicare patients
286vs 1182.4 times
Part D claims
5,340vs 8336.4 times

Medians across 15,349 family medicine physicians in California with Dmand AI profiles that report each measure.

Dr. McBreen's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. McBreen

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Thomas Sean McBreen treated 286 Medicare patients in 2024, average age 75

CMS counts 286 Medicare patients who saw Dr. McBreen in 2024. The largest group is 65 to 74, with 157 patients. 61% of them have high cholesterol, and 55% have high blood pressure. Their average risk score is 0.91, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. McBreen's median patient age at 69, with 49% women.

Medicare patients, 2024286
Average age75
Average risk score0.91

Dr. McBreen's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. McBreen's Medicare patients by sex, 2024

  • Women14049%
  • Men14651%

Chronic conditions among Dr. McBreen's Medicare patients, 2024

  1. High cholesterol61%
  2. High blood pressure55%
  3. Arthritis53%
  4. Atrial fibrillation19%
  5. Asthma17%
  6. Ischemic heart disease17%
  7. Diabetes16%
  8. Anxiety15%

Share of Medicare patients with each condition. A patient can have several.

Dr. McBreen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women49%
  • Men50%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Thomas Sean McBreen wrote 6,025 Medicare Part D claims in 2024

In 2024, Dr. McBreen wrote 6,025 Medicare Part D claims for 423 patients. 90% of them were for generic drugs. CMS names the drug for 5,340 of them, across 107 drugs with 11 or more claims each, at $254,231 in total drug cost. In 2023, CMS named 5,177 claims across 108 drugs.

Part D claims, 20246,025
Drugs named by CMS107
Total drug cost$254,231
Part D patients423

Dr. McBreen's Part D claims by kind of drug, 2024

  • Generic5,452 claims90%
  • Brand-name513 claims9%
  • Other60 claims1%

Dr. McBreen's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. McBreen's Part D claims, 2024

  • Opioids4%258 of 6,025 claims
  • Antibiotics6%335 of 6,025 claims
  • Antipsychotics, patients 65 and over1%49 of 6,025 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5,1772024: 5,3403%

Drugs named by CMS: 107 in 2024, 108 in 2023.

See all prescribing by Dr. McBreen

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Thomas Sean McBreen scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. McBreen for performance year 2024, reported individually. CMS counts 54 procedures of removal of skin lesions by Dr. McBreen, more than 72% of the clinicians it reports for that procedure.

MIPS final score, 2024
75 of 100

Where Dr. McBreen ranks in Medicare procedure volume

Spinal fusion
60th percentile61 procedures
Removal of skin lesions
72nd percentile54 procedures
Laminectomy or laminotomy (partial removal of spine bones)
63rd percentile32 procedures
Melanoma (skin cancer) excision
69th percentile14 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Thomas Sean McBreen received $432 in industry payments from 2016 to 2025

CMS Open Payments shows 8 general payments to Dr. McBreen from 6 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Amarin Pharma Inc. paid the most, $151.

General payments to Dr. McBreen by program year, 2016 to 2025

General payments to Dr. McBreen by kind, 2016 to 2025

$432in total
  • Food and beverage$42699%
  • Education$61%

Companies that paid Dr. McBreen the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. McBreen

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Thomas Sean McBreen graduated from Keck School of Medicine of USC

Dr. McBreen graduated from Keck School of Medicine of USC in 1979.

  1. Medical schoolKeck School of Medicine of USC
  2. Board certified in family medicineNational Board of Physicians and Surgeons

Source: Dmand AI Professional Profile Data

Dr. Thomas Sean McBreen accepts plans from 15 insurance carriers

Dr. McBreen is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +7 more carriersWith a free account

Plan types Dr. McBreen accepts, by number of carriers

  1. PPO9
  2. HMO7
  3. Medicare7
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Thomas Sean McBreen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Thomas Sean McBreen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Thomas Sean McBreen's NPI number?

Dr. Thomas Sean McBreen's NPI number is 1275605578. It was assigned on November 14, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Thomas Sean McBreen?

Dr. Thomas Sean McBreen is a family medicine physician in Ventura, California. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).

Where does Dr. Thomas Sean McBreen practice?

Dr. McBreen practices at 147 North Brent Street, Ventura, CA 93003. Dr. McBreen's primary practice is Community Memorial Hospital - Ventura in Ventura, California, part of Community Memorial Healthcare. Dmand AI also links Dr. McBreen to 3 home health agencies and 1 group practice or clinic.

What is Dr. Thomas Sean McBreen's office phone number?

The practice phone on file for Dr. McBreen is (805) 652-5011.

What is Dr. Thomas Sean McBreen's medical license number?

Dr. McBreen holds California license G42708.

Which hospitals is Dr. Thomas Sean McBreen affiliated with?

Dr. McBreen practices at Community Memorial Hospital - Ventura in Ventura, California.

What medical group is Dr. Thomas Sean McBreen part of?

Dr. McBreen is linked to Community Memorial Healthcare.

Does Dr. Thomas Sean McBreen accept Medicare?

Yes. CMS data shows Dr. McBreen billed Medicare for 1,740 services in 2024.

What is Dr. Thomas Sean McBreen's MIPS score?

Dr. McBreen's MIPS final score for performance year 2024 is 75 out of 100, reported individually.

How many Medicare patients does Dr. Thomas Sean McBreen see?

CMS counts 286 Medicare patients who saw Dr. McBreen in 2024, with an average age of 75.

Show 7 more questionsShow fewer questions

Is Dr. Thomas Sean McBreen board certified?

Yes. Dr. McBreen is board certified in family medicine by the National Board of Physicians and Surgeons.

What services does Dr. Thomas Sean McBreen bill to Medicare?

In 2024, Dr. McBreen's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and injected or infused drug (J3301).

Where did Dr. Thomas Sean McBreen go to medical school?

Dr. McBreen graduated from Keck School of Medicine of USC in 1979.

What drugs does Dr. Thomas Sean McBreen prescribe most?

In 2024 Medicare Part D data, Dr. McBreen's most prescribed drugs by claims were Lisinopril, Atorvastatin Calcium and Levothyroxine Sodium.

Has Dr. Thomas Sean McBreen received payments from drug or device companies?

CMS Open Payments shows $432 in general payments to Dr. McBreen from 6 companies from 2016 to 2025. The largest total came from Amarin Pharma Inc.

How long has Dr. Thomas Sean McBreen been practicing?

Dr. McBreen graduated from medical school in 1979, 47 years ago.

What insurance does Dr. Thomas Sean McBreen accept?

Dr. McBreen is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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