Dr. Alexander L. Brech, MD
- Medicare services, 2024
- 1,350
- Medicare patients, 2024
- 878
- Part D claims, 2024
- 86
- MIPS score, 2024
- 96
- Hospital affiliations
- 2
- Practice address
- 353 Fairmont Blvd, Rapid City, SD 57701
- Practice phone
- Call (605) 755-1000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Brech's professional email, personal email and mobile number
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Dr. Alexander L. Brech is an emergency medicine physician in Rapid City, South Dakota
Dr. Brech practices at Monument Health Rapid City Hospital in Rapid City, South Dakota, part of Monument Health.
Dr. Brech's NPI, 1902465784, was assigned on June 6, 2019. Dr. Brech holds South Dakota license 13583.
- NPI
- 1902465784NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8820322084
- NPI enumeration date
- June 6, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (605) 755-1000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 33
- Medical school graduation
- 2019
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Alexander L. Brech practices at Monument Health Rapid City Hospital in Rapid City, South Dakota
Dr. Brech's primary practice is Monument Health Rapid City Hospital, at 353 Fairmont Blvd, Rapid City, SD 57701 in Pennington County. The practice phone is (605) 755-1000.
- Monument Health Rapid City Hospital353 Fairmont Blvd, Rapid City, SD 57701 · Pennington CountyPhone(605) 755-1000
Source: Dmand AI Affiliation Data
Dr. Alexander L. Brech is affiliated with 2 sites of care and 3 medical groups
Dr. Brech's primary practice is Monument Health Rapid City Hospital in Rapid City, South Dakota, part of Monument Health. Dr. Brech is also affiliated with Fall River Health Services. The medical group on file is Rapid City Emergency Services. Dmand AI also links Dr. Brech to 2 more medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Alexander L. Brech's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Brech practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Monument Health Rapid City Hospital | Available with a free account |
| +1 more site and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Alexander L. Brech is one of 140 emergency medicine physicians in South Dakota
Emergency medicine is Dr. Brech's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dmand AI has Dr. Brech's licenses on file in 2 states: South Dakota and Michigan.
Specialties and state licenses
- Emergency medicine, South DakotaPrimary
- Student in an organized health care education/training program, Michigan
Emergency medicine physicians near Dr. Brech
Counts of emergency 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. Alexander L. Brech billed Medicare for 1,350 services in 2024
CMS data shows 1,350 Medicare services from Dr. Brech across 5 procedure codes in 2024, for 878 Medicare patients. Medicare paid $105,367 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Brech's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 9092024: 8813%
- Tests and treatments
- 2023: 4872024: 4694%
Dr. Brech compared with the South Dakota median for emergency medicine physicians, 2024
- Dr. Brech
- South Dakota median
- Medicare services
- 1,350vs 2844.8 times
- Medicare patients
- 878vs 2713.2 times
- Part D claims
- 32vs 2814% above
Medians across 138 emergency medicine physicians in South Dakota with Dmand AI profiles that report each measure.
Dr. Brech'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.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Alexander L. Brech treated 878 Medicare patients in 2024, average age 74
CMS counts 878 Medicare patients who saw Dr. Brech in 2024. The largest group is 65 to 74, with 317 patients. 75% of them have high blood pressure, and 73% have high cholesterol. 23% are also on Medicaid. Their average risk score is 1.91, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Brech's median patient age at 73, with 55% women.
Dr. Brech's Medicare patients by age, 2024
Dr. Brech's Medicare patients by sex, 2024
- Women48755%
- Men39145%
Chronic conditions among Dr. Brech's Medicare patients, 2024
- High blood pressure75%
- High cholesterol73%
- Arthritis47%
- Ischemic heart disease39%
- Diabetes37%
- Anxiety34%
- Chronic kidney disease34%
- Heart failure34%
Share of Medicare patients with each condition. A patient can have several.
Dr. Brech's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women55%
- Men45%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Alexander L. Brech wrote 86 Medicare Part D claims in 2024
In 2024, Dr. Brech wrote 86 Medicare Part D claims for 75 patients. 94% of them were for generic drugs. CMS names the drug for 32 of them, across 2 drugs with 11 or more claims each, at $176 in total drug cost. In 2023, CMS named 46 claims across 3 drugs.
Dr. Brech's Part D claims by kind of drug, 2024
- Generic81 claims94%
- Brand-name and other5 claims6%
Dr. Brech'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. Brech's Part D claims, 2024
- Antibiotics36%31 of 86 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: 462024: 3230%
Drugs named by CMS: 2 in 2024, 3 in 2023.
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. Alexander L. Brech scored 96 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Brech for performance year 2024, reported as part of a group. Dr. Brech accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Brech's MIPS scores, performance year 2024
- 96of 100Final score
- 99of 100Quality
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Sources for Dr. Alexander L. Brech's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Alexander L. Brech
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. Alexander L. Brech's NPI number?
Dr. Alexander L. Brech's NPI number is 1902465784. It was assigned on June 6, 2019, and it is active in the NPI Registry.
What kind of doctor is Dr. Alexander L. Brech?
Dr. Alexander L. Brech is an emergency medicine physician in Rapid City, South Dakota. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).
Where does Dr. Alexander L. Brech practice?
Dr. Brech practices at 353 Fairmont Blvd, Rapid City, SD 57701. Dr. Brech's primary practice is Monument Health Rapid City Hospital in Rapid City, South Dakota, part of Monument Health. Dmand AI also links Dr. Brech to 2 medical groups.
What is Dr. Alexander L. Brech's office phone number?
The practice phone on file for Dr. Brech is (605) 755-1000.
What is Dr. Alexander L. Brech's medical license number?
Dr. Brech holds South Dakota license 13583, one of the licenses on file in 2 states.
Which states has Dr. Alexander L. Brech been licensed in?
Dmand AI has state licenses on file for Dr. Brech in South Dakota and Michigan.
Which hospitals is Dr. Alexander L. Brech affiliated with?
Dr. Brech practices at Monument Health Rapid City Hospital in Rapid City, South Dakota. Dr. Brech is also affiliated with Fall River Health Services.
What medical group is Dr. Alexander L. Brech part of?
Dr. Brech is linked to Rapid City Emergency Services. Dmand AI links Dr. Brech to 2 more medical groups.
Does Dr. Alexander L. Brech accept Medicare?
Yes. CMS data shows Dr. Brech billed Medicare for 1,350 services in 2024, and Dr. Brech accepts Medicare assignment.
What is Dr. Alexander L. Brech's MIPS score?
Dr. Brech's MIPS final score for performance year 2024 is 96 out of 100, reported as part of a group.
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How many Medicare patients does Dr. Alexander L. Brech see?
CMS counts 878 Medicare patients who saw Dr. Brech in 2024, with an average age of 74.
What services does Dr. Alexander L. Brech bill to Medicare?
In 2024, Dr. Brech's most billed Medicare services were emergency department visit (99285), heart test or procedure (93010) and critical care (99291).
What drugs does Dr. Alexander L. Brech prescribe most?
In 2024 Medicare Part D data, Dr. Brech's most prescribed drugs by claims were Ondansetron ODT and Cephalexin.
How long has Dr. Alexander L. Brech been practicing?
Dr. Brech graduated from medical school in 2019, 7 years ago.
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