NICHOLAS BROADBENT (D.O.) – Vascular & Interventional Radiology Physician, NPI 1356721872
Vascular & Interventional Radiology Physician
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NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for NICHOLAS BROADBENT (D.O.)
530 NE GLEN OAK AVE
PEORIA, IL 616370001
Phone: (309) 655-7768
Type: Location
403 1st St SE
Belmond, IA 504211201
Phone: (844) 474-4321
Fax: (641) 444-5554
Type: Location
1924 Superior St
Webster City, IA 505953146
Phone: (844) 474-4321
Fax: (515) 832-1114
Type: Location
1316 S Main St
Clarion, IA 505252019
Phone: (844) 474-4321
Fax: (515) 532-3119
Type: Location
104 S Story St
Boone, IA 500364737
Phone: (844) 474-4321
Fax: (515) 432-2895
Type: Location
2700 1st Ave S Ste 100
Fort Dodge, IA 505014300
Phone: (844) 474-4321
Fax: (515) 576-8581
Type: Location
401 S 17th St
Clear Lake, IA 504282304
Phone: (844) 474-4321
Fax: (515) 832-1400
Type: Location
840 W US Highway 18
Garner, IA 504381023
Phone: (844) 474-4321
Fax: (641) 925-1507
Type: Location
1416 6TH ST SW
MASON CITY, IA 504014818
Phone: (641) 424-0102
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Terumo Medical Corporation ($16).
Total Amount
$45
General + Research + Ownership
Payments
3
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Terumo Medical Corporation | $16 |
| Medtronic, Inc. | $15 |
| Bard Peripheral Vascular, Inc. | $15 |
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: 2021-06-25
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 |
|---|---|---|---|---|
| I20210625002426 | I | Diagnostic Radiology | IA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 125 | 101 | $0 |
| 71046 | X-ray of chest, 2 views | 95 | 89 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 87 | 80 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 85 | 85 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 79 | 73 | $0 |
Insurance plans in this area (ZIP 61637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| - | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology | IN |
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