DR. JOHN PHILLIPPE BROADNAX (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1457409104
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 PAIN MANAGEMENT in IL
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Provider Addresses for DR. JOHN PHILLIPPE BROADNAX (M.D.)
1015, South Mercer Avenue, Bloomington, McLean County, Illinois, 61701, United States
BLOOMINGTON, IL 617017107
Phone:
Type: Mailing
West Winchester Road, Libertyville, Lake County, Illinois, 60060, United States
LIBERTYVILLE, IL 600485321
Phone: (847) 281-9543
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $2,736.
Total Amount is formed as General ($2,736) + Research ($0) + Ownership ($0) = $2,736.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($913).
Total Amount
$2,736
General + Research + Ownership
Payments
87
Total payment records
General Amount
$2,736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $913 |
| BIOTRONIK NRO, Inc. | $339 |
| Boston Scientific Corporation | $319 |
| Forte Bio-Pharma LLC | $246 |
| Abbott Laboratories | $198 |
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: 2016-11-22
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 |
|---|---|---|---|---|
| I20161122000719 | I | Pain Management | TX | 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 | 523 | 185 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 182 | 89 | $0 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 67 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 43 | 30 | $0 |
Insurance plans in this area (ZIP 61701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | IL | 62311 | Injections of substances into lower or sacral spine | 174 | 116 |
| PAIN MANAGEMENT | IL | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 33 | 23 |
| PAIN MANAGEMENT | IL | 85610 | Blood test, clotting time | 16 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| A N E S T H E S I O L O G Y | TX |
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