DR. CHRISTINE BROEDER (OD) – Optometrist, NPI 1568450039

DR. CHRISTINE BROEDER (OD) is a healthcare provider. based in Saint louis, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T02989 (MO). The NPI Number for DR. CHRISTINE BROEDER (OD) is 1568450039

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINE BROEDER (OD)
NPI
1568450039
Phone
(314) 726-0070
Address
7410 MARYLAND AVE
Enumeration Date
10 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3145677423
Graduation Year
1991 (35 years ago)
PAC ID
4587688668
Group Practice PAC ID
5890196851
Professional Enrollment ID
I20060117000021
Address ID
MO631416715SA745XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. CHRISTINE BROEDER (OD)

  • Maryland Avenue, Central West End, City of Saint Louis, Missouri, 63108, United States

    SAINT LOUIS, MO 631304203

    Phone: (314) 726-0070

    Fax: (314) 726-0070

    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 3 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($123).

Total Amount

$153

General + Research + Ownership

Payments

3

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060117000021IOptometryMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system7574$0
92250Photography of the retina4646$0
View full utilization report →

Insurance plans in this area (ZIP 63130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890196851View full group profile
NameSpecialtyState
O P T O M E T R YFL

Reviews

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Frequently asked questions

Does DR. CHRISTINE BROEDER (OD) have a public NPI I can cite?
Public records show DR. CHRISTINE BROEDER (OD) under NPI 1568450039.
Does the public listing show DR. CHRISTINE BROEDER (OD) as active?
DR. CHRISTINE BROEDER (OD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. CHRISTINE BROEDER (OD) does?
Insurance directories may phrase it differently, but here DR. CHRISTINE BROEDER (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. CHRISTINE BROEDER (OD)?
DR. CHRISTINE BROEDER (OD) is associated with Saint Louis, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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