MOLLY A BRADDOCK (PA-C) – Physician Assistant, NPI 1881134765
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MOLLY A BRADDOCK (PA-C)
4948, Benchmark Centre Drive, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 622262027
Phone: (618) 628-2588
Fax: (618) 628-1363
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 310 Open Payments records for all available years, with a total value of $6,051.
Total Amount is formed as General ($6,051) + Research ($0) + Ownership ($0) = $6,051.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($936).
Total Amount
$6,051
General + Research + Ownership
Payments
310
Total payment records
General Amount
$6,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $936 |
| E.R. Squibb & Sons, L.L.C. | $620 |
| Janssen Biotech, Inc. | $471 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $330 |
| Sun Pharmaceutical Industries Inc. | $304 |
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: 2025-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180109001719 | I | Physician Assistant | IL | TBD |
| I20250321002107 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 715 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 227 | 189 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 218 | 188 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 133 | 119 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 90 | 84 | $0 |
Insurance plans in this area (ZIP 62226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | MN | |
| Nurse Practitioner | IL | |
| Pathology, Dermatology | MO | |
| Micrographic Dermatologic Surgery (Mds) | NY | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL |
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