DR. STEPHEN R BROADWATER (M.D.) – Interventional Cardiology Physician, NPI 1083697478
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA
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Provider Addresses for DR. STEPHEN R BROADWATER (M.D.)
3614, J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30909, United States
ST A
AUGUSTA, GA 30909
Phone: (706) 922-9222
Fax: (706) 922-5766
Type: Location
818, Saint Sebastian Way, Augusta, Richmond County, Georgia, 30901, United States
STE 311
AUGUSTA, GA 309012651
Phone: (706) 724-3473
Fax: (706) 724-3493
Type: Mailing
3614 J Dewey Gray Circle
St A
Augusta, GA 30909
Phone: (706) 922-9222
Fax: (706) 922-5766
Type: Location
3651 Wheeler Rd
Augusta, GA 309096426
Phone: (706) 721-8623
Type: Location
1120 15TH ST # OR6000
AUGUSTA, GA 309120004
Phone: (706) 721-3813
Type: Mailing
587 FURYS FERRY RD
MARTINEZ, GA 309079059
Phone: (706) 721-8623
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,729.
Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($395).
Total Amount
$1,729
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $395 |
| Abbott Laboratories | $255 |
| PFIZER INC. | $161 |
| Lilly USA, LLC | $157 |
| Lundbeck LLC | $71 |
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: 2005-10-19
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 |
|---|---|---|---|---|
| I20051019000914 | I | Cardiovascular Disease (Cardiology) | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 317 | 243 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 209 | 208 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 95 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 63 | 63 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 30909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 82 | 82 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 53 | 46 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 37 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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