MS. LUCY BROADDUS (MMS, PA-C, ATC.) – Physician Assistant, NPI 1114299419
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. LUCY BROADDUS (MMS, PA-C, ATC.)
4500 MEMORIAL DRIVE
MEMORIAL HOSPITAL MEDICAL AFFAIRS
BELLEVILLE, IL 62226
Phone: (618) 257-4644
Fax: (618) 257-6946
Type: Mailing
310 N 7 HILLS RD
O FALLON, IL 622694111
Phone: (618) 624-6181
Fax: (618) 624-7172
Type: Location
310 N 7 HILLS RD STE 220
O FALLON, IL 622694111
Phone: (618) 624-6181
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $1,575.
Total Amount is formed as General ($1,575) + Research ($0) + Ownership ($0) = $1,575.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($498).
Total Amount
$1,575
General + Research + Ownership
Payments
96
Total payment records
General Amount
$1,575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $498 |
| Lilly USA, LLC | $248 |
| GlaxoSmithKline, LLC. | $235 |
| Amgen Inc. | $130 |
| Exact Sciences Corporation | $108 |
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: 2016-02-19
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 |
|---|---|---|---|---|
| I20160219001522 | I | Physician Assistant | IL | 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 | 106 | 65 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 39 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 20 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 19 | 19 | $0 |
Insurance plans in this area (ZIP 62226)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 81002 | Urinalysis, manual test | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.