DR. SAMUEL C BRODER (DO) – Emergency Medicine Physician, NPI 1376032755
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,692 EMERGENCY MEDICINE in MA
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Provider Addresses for DR. SAMUEL C BRODER (DO)
Baystate Medical Center, 759, Chestnut Street, North End, Springfield, Hampden County, Massachusetts, 01199, United States
SPRINGFIELD, MA 011991001
Phone: (413) 794-0000
Type: Mailing
280 CHESTNUT STREET
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220802003632 | I | Emergency Medicine | AK | TBD |
| I20251107004074 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 278 | 272 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 49 | 47 | $0 |
| 99291 | Critical care, first 30-74 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 01199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine, Emergency Medicine, Osteopathic Manipulative Medicine, Family Practice | CA | |
| Emergency Medicine | WI | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | VA | |
| Emergency Medicine | CA |
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