DR. CRYSTAL N BROUSSARD (MD) – Gastroenterology Physician, NPI 1114955846
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
757 GASTROENTEROLOGY in NJ
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Provider Addresses for DR. CRYSTAL N BROUSSARD (MD)
26, Lincoln Avenue, West Orange, Essex County, New Jersey, 07052, United States
WEST ORANGE, NJ 070522312
Phone: (973) 762-4466
Type: Mailing
466, Old Hook Road, Emerson, Bergen County, New Jersey, 07630, United States
SUITE 1
EMERSON, NJ 076301396
Phone: (201) 967-8221
Fax: (201) 634-9647
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 132 Open Payments records for all available years, with a total value of $3,223.
Total Amount is formed as General ($3,223) + Research ($0) + Ownership ($0) = $3,223.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Janssen Biotech, Inc. ($864).
Total Amount
$3,223
General + Research + Ownership
Payments
132
Total payment records
General Amount
$3,223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $864 |
| ABBVIE INC. | $505 |
| Ferring Pharmaceuticals Inc. | $299 |
| PENTAX of America, Inc. | $194 |
| Takeda Pharmaceuticals U.S.A., Inc. | $131 |
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: 2006-01-19
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 |
|---|---|---|---|---|
| I20060119000322 | I | Gastroenterology | NJ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 83 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 38 | 37 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 35 | 35 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 28 | $0 |
Insurance plans in this area (ZIP 07052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | NJ | |
| Certified Nurse Midwife (Cnm) | NY | |
| Internal Medicine | MA | |
| Gastroenterology, Internal Medicine | NJ | |
| Family Practice | MA | |
| - | NJ | |
| Sports Medicine, Family Practice, Family Practice, Osteopathic Manipulative Medicine, Sports Medicine | NY | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | NJ | |
| E N D O C R I N O L O G Y | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ |
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