RICHARD E. BRODER-OLDACH (DO) – Family Medicine Physician, NPI 1689679326

RICHARD E. BRODER-OLDACH (DO) is a healthcare provider. based in Loveland, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 34006887 (OH). The NPI Number for RICHARD E. BRODER-OLDACH (DO) is 1689679326

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD E. BRODER-OLDACH (DO)
NPI
1689679326
Phone
(513) 707-4041
Address
424 WARDS CORNER RD STE 200
Enumeration Date
18 June 2005
Last Update Date
10 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
5135365005
Graduation Year
1995 (31 years ago)
PAC ID
8325181084
Group Practice PAC ID
2264328749
Professional Enrollment ID
I20100203000104
Address ID
OH451761017WI500XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for RICHARD E. BRODER-OLDACH (DO)

  • 424 WARDS CORNER RD STE 200

    LOVELAND, OH 451406966

    Phone: (513) 707-4041

    Fax: (513) 576-1020

    Type: Mailing

  • 150 HEALTH PARTNER CIRCLE

    MOUNT ORAB, OH 451549422

    Phone: (937) 444-2514

    Fax: (937) 444-4818

    Type: Location

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 $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Abbott Laboratories ($143).

Total Amount

$180

General + Research + Ownership

Payments

3

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2010-02-03

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
I20100203000104IFamily PracticeOHTBD

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 45140)

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Provider's Procedures

RICHARD E. BRODER-OLDACH (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH85610Blood test, clotting time7213

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: 2264328749View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
Nurse PractitionerOH
Family PracticeOH
-OH
-OH
Clinical PsychologistOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for RICHARD E. BRODER-OLDACH (DO)?
RICHARD E. BRODER-OLDACH (DO) — NPI 1689679326 — is the standard way to identify this listing.
Does the file indicate RICHARD E. BRODER-OLDACH (DO) is practicing under active NPI?
Directory data currently reports RICHARD E. BRODER-OLDACH (DO) as active.
What is RICHARD E. BRODER-OLDACH (DO) best known for clinically?
Directory data describes RICHARD E. BRODER-OLDACH (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does RICHARD E. BRODER-OLDACH (DO) serve?
RICHARD E. BRODER-OLDACH (DO)'s listing highlights Loveland, Ohio; more addresses can appear in NPPES.
Why does RICHARD E. BRODER-OLDACH (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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