DR. DEVIN REESE BROADWATER (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1609301779
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,394 PATHOLOGY in TX
Provider Addresses for DR. DEVIN REESE BROADWATER (M.D.)
3551 Roger Brooke Dr
SAUSHEC Pathology Residency Program
Jbsa Ft Sam Houston, TX 782344504
Phone: (210) 916-6807
Type: Location
150 Reynoir St
Biloxi, MS 395304130
Phone: (228) 432-1571
Fax: (419) 866-5453
Type: Location
3551 ROGER BROOKE DR
SAUSHEC PATHOLOGY RESIDENCY PROGRAM
JBSA FT SAM HOUSTON, TX 78234
Phone: (210) 916-6807
Type: Mailing
1001 GAUSE BLVD
SLIDELL, LA 704582987
Phone: (985) 280-2200
Type: Location
1514 JEFFERSON HWY
NEW ORLEANS, LA 701212429
Phone: (504) 842-3000
Type: Mailing
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 $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Incyte Corporation ($129).
Total Amount
$375
General + Research + Ownership
Payments
3
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $129 |
| Stemline Therapeutics Inc. | $124 |
| CSL Behring | $122 |
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: 2025-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220420002353 | I | Pathology | MS | TBD |
| I20251203002727 | I | Pathology | LA | 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 |
|---|---|---|---|---|
| 80503 | Pathology clinical consultation for clinical problem, 5-20 minutes | 109 | 89 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 97 | 38 | $0 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 20 | 13 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 14 | 13 | $0 |
Insurance plans in this area (ZIP 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MS | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | MS |
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