MELISSA A BROEDERS (P.A.-C) – Medical Physician Assistant, NPI 1083618425
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MELISSA A BROEDERS (P.A.-C)
N8149 W FENCE RIVER RD
REPUBLIC, MI 49879
Phone: (906) 376-2013
Type: Mailing
301 EXPLORER ST
GWINN, MI 498412813
Phone: (906) 346-4924
Fax: (906) 346-6474
Type: Mailing
Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States
STE 201
MARQUETTE, MI 498555406
Phone: (906) 225-4500
Fax: (906) 225-3919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $706.
Total Amount is formed as General ($706) + Research ($0) + Ownership ($0) = $706.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($209).
Total Amount
$706
General + Research + Ownership
Payments
32
Total payment records
General Amount
$706
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-07-27
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 |
|---|---|---|---|---|
| I20040727000027 | I | Physician Assistant | MI | 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 | 186 | 152 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 105 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 25 | $0 |
Insurance plans in this area (ZIP 49879)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Pulmonary Disease | MI | |
| H O S P I T A L I S T | MI | |
| Physician Assistant | MI | |
| Thoracic Surgery | IL | |
| Nurse Practitioner | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
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