DR. JOHN JOSEPH BRODERICK-CANTWELL (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1760493365
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
336 PSYCHIATRY in AL
Provider Addresses for DR. JOHN JOSEPH BRODERICK-CANTWELL (M.D.)
PO BOX 392
FAIRHOPE, AL 365330392
Phone: (251) 517-5800
Fax: (251) 517-5801
Type: Mailing
7101 US HIGHWAY 90 STE 103
DAPHNE, AL 365269510
Phone: (251) 517-5800
Fax: (256) 429-9411
Type: Location
600 SUN TEMPLE DR
MADISON, AL 357588643
Phone: (256) 975-4291
Fax: (256) 288-3334
Type: Mailing
770, Middle Street, Fairhope, Baldwin County, Alabama, 36532, United States
FAIRHOPE, AL 365321766
Phone: (251) 517-5800
Fax: (251) 517-5801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $544.
Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Almatica Pharma LLC ($112).
Total Amount
$544
General + Research + Ownership
Payments
30
Total payment records
General Amount
$544
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-10-01
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 |
|---|---|---|---|---|
| I20081001000469 | I | Psychiatry | AL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 27 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 29 | 23 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 12 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 12 | 12 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 36533)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | AL | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 69 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| P S Y C H I A T R Y | FL | |
| - | AL | |
| Mental Health Counselor | AL | |
| - | MS | |
| - | AL |
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