GEORGE T BRODERICK (MD) – Cardiovascular Disease Physician, NPI 1134125271

GEORGE T BRODERICK (MD) is a healthcare provider. based in Dayton, Ohio. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 35062694B (OH). The NPI Number for GEORGE T BRODERICK (MD) is 1134125271

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE T BRODERICK (MD)
NPI
1134125271
Phone
(937) 832-2425
Address
9000 N MAIN ST
Enumeration Date
23 June 2005
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
5991695108
Group Practice PAC ID
5597708594
Professional Enrollment ID
I20040319000055
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GEORGE T BRODERICK (MD)

  • John Wayland Highway, Dayton, Rockingham County, Virginia, United States

    STE 101

    DAYTON, OH 454151184

    Phone: (937) 832-2425

    Fax: (937) 832-9804

    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)

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: 2004-03-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040319000055IInterventional CardiologyOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12096$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8985$0
99213Established patient office or other outpatient visit, 20-29 minutes5547$0
99215Established patient office or other outpatient visit, 40-54 minutes2724$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 45415)

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Provider's Procedures

GEORGE T BRODERICK (MD) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYOH85610Blood test, clotting time23166
INTERVENTIONAL CARDIOLOGYOH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2017
INTERVENTIONAL CARDIOLOGYOH93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart3534

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: 5597708594View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic SurgeryOH
Physician AssistantOH
-OH
Cardiovascular Disease (Cardiology)OH
-OH
Physician AssistantOH
Thoracic SurgeryPA
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What number should I use to identify GEORGE T BRODERICK (MD) for billing?
Administrative and clinical systems typically use NPI 1134125271 for GEORGE T BRODERICK (MD).
Is GEORGE T BRODERICK (MD)'s NPI status active today?
Active status means GEORGE T BRODERICK (MD)'s NPI record is not deactivated in the public file.
What type of care does GEORGE T BRODERICK (MD) provide?
GEORGE T BRODERICK (MD)'s profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GEORGE T BRODERICK (MD)?
GEORGE T BRODERICK (MD) is associated with Dayton, Ohio in the same public data insurers reference.
Who maintains GEORGE T BRODERICK (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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