CARI BRODERICK (PA-C) – Physician Assistant, NPI 1609495936
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for CARI BRODERICK (PA-C)
6800 SOUTHPOINT PKWY STE 300
JACKSONVILLE, FL 322168203
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Mailing
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 322044717
Phone: (904) 634-0640
Type: Location
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3055 County Road 210 W Ste 110
St Johns, FL 322597001
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
216 Southpark Cir E Ste 216
St Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4565 US Highway 17 Ste 200
Fleming Island, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($44).
Total Amount
$83
General + Research + Ownership
Payments
2
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $44 |
| Medical Device Business Services, Inc. | $39 |
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: 2020-04-21
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 |
|---|---|---|---|---|
| I20200421002258 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 3,850 | 45 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,020 | 217 | $0 |
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 1,416 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 481 | 375 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 427 | 177 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | VA | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| N E U R O S U R G E R Y | FL |
Reviews
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