DR. JANE ELLERY BROECKER (M.D.) – Obstetrics & Gynecology Physician, NPI 1548360852

DR. JANE ELLERY BROECKER (M.D.) is a healthcare provider. based in Dublin, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.076838 (OH). The NPI Number for DR. JANE ELLERY BROECKER (M.D.) is 1548360852

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANE ELLERY BROECKER (M.D.)
NPI
1548360852
Phone
(614) 544-6155
Address
5450 FRANTZ RD STE 360
Enumeration Date
25 September 2006
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
7405948819
Graduation Year
1998 (28 years ago)
PAC ID
3779481122
Group Practice PAC ID
6305758426
Professional Enrollment ID
I20031223000318
Address ID
OH457012866AT75XXXDRXX302

Contacts

Secure Messaging
jbroecker171328@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,818 OBSTETRICS/GYNECOLOGY in OH

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Provider Addresses for DR. JANE ELLERY BROECKER (M.D.)

  • Frantz Road, Dublin, Franklin, Ohio, 43017, United States

    DUBLIN, OH 430164141

    Phone: (614) 544-6155

    Fax: (614) 544-6370

    Type: Mailing

  • Eye Physicians & Surgeons Of Athens, 75, Hospital Drive, Athens, Athens County, Ohio, 45701, United States

    SUITE 260

    ATHENS, OH 457012857

    Phone: (740) 594-8819

    Fax: (740) 594-4090

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Aspira Women's Health Inc ($23).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2003-12-23

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
I20031223000318IObstetrics/GynecologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43016)

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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: 6305758426View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal Medicine, Family Practice, UrologyOH
Physician AssistantOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMN
General PracticeOH
-OH
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JANE ELLERY BROECKER (M.D.)?
DR. JANE ELLERY BROECKER (M.D.) — NPI 1548360852 — is the standard way to identify this listing.
Can I rely on DR. JANE ELLERY BROECKER (M.D.) being an active provider?
As of the registry snapshot, DR. JANE ELLERY BROECKER (M.D.) is marked active.
What is DR. JANE ELLERY BROECKER (M.D.) best known for clinically?
Directory data describes DR. JANE ELLERY BROECKER (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JANE ELLERY BROECKER (M.D.) serve?
DR. JANE ELLERY BROECKER (M.D.)'s listing highlights Dublin, Ohio; more addresses can appear in NPPES.
Is the information about DR. JANE ELLERY BROECKER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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