GREGORY BRODERICK (MD) – Urology Physician, NPI 1093705899
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
897 UROLOGY in FL
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Provider Addresses for GREGORY BRODERICK (MD)
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $2,565.
Total Amount is formed as General ($2,565) + Research ($0) + Ownership ($0) = $2,565.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boston Scientific Corporation ($1,006).
Total Amount
$2,565
General + Research + Ownership
Payments
25
Total payment records
General Amount
$2,565
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,006 |
| COLOPLAST CORP | $507 |
| PROCEPT BioRobotics Corporation | $388 |
| Ambu Inc. | $197 |
| Endo Pharmaceuticals Inc. | $162 |
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: 2010-02-17
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 |
|---|---|---|---|---|
| I20100217000065 | I | Urology | FL | 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 |
|---|---|---|---|---|
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 96 | 91 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 96 | 78 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 92 | 88 | $0 |
| 54235 | Injection procedure to cause erection | 57 | 51 | $0 |
| 51741 | Electronic assessment of bladder emptying | 47 | 41 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | FL | 51798 | Ultrasound measurement of bladder capacity after voiding | 228 | 175 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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