DR. JOHN DENNIS BRODERICK (M.D.) – Emergency Medicine Physician, NPI 1588666424
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,790 EMERGENCY MEDICINE in CA
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Provider Addresses for DR. JOHN DENNIS BRODERICK (M.D.)
15, Fenimore Place, Town of Wilton, Saratoga County, New York, 12831, United States
GANSEVOORT, NY 128311476
Phone: (518) 306-5908
Type: Mailing
Center Avenue, Boulevard Gardens, Huntington Beach, Orange County, California, 92655, United States
HUNTINGTON BEACH, CA 926479152
Phone: (657) 400-5180
Type: Location
113 Glenn Pl Unit 100
Lexington, KY 405053518
Phone: (833) 358-2278
Type: Location
2401 Park Dr Ste 101
Harrisburg, PA 171109303
Phone: (717) 686-9842
Type: Location
Adirondack Medical Center, 2233 State Rt. 86
Saranac Lake, NY 12983
Phone: (518) 897-2570
Type: Location
1055 Westlakes Dr Ste 3152
Berwyn, PA 193122410
Phone: (215) 346-6050
Fax: (215) 220-3562
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $85.
Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: ABBVIE INC. ($85).
Total Amount
$85
General + Research + Ownership
Payments
1
Total payment records
General Amount
$85
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $85 |
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: 2026-02-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20050125000802 | I | Emergency Medicine | NY | TBD |
| I20190116002224 | I | Emergency Medicine | PA | TBD |
| I20190516003157 | I | Emergency Medicine | CA | TBD |
| I20230210000659 | I | Emergency Medicine | VA | TBD |
| I20260210003887 | I | Emergency Medicine | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 12831)
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