DR. JEFFREY L BROADHEAD (O.D.) – Optometrist, NPI 1306829569
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
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Provider Addresses for DR. JEFFREY L BROADHEAD (O.D.)
Copper View Medical Center, 3556, 9800 South, Maxfield, South Jordan, Salt Lake County, Utah, 84095, United States
SUITE 104
SOUTH JORDAN, UT 840953211
Phone: (801) 253-6590
Fax: (801) 253-6591
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)
CMS reports 12 Open Payments records for all available years, with a total value of $307.
Total Amount is formed as General ($307) + Research ($0) + Ownership ($0) = $307.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($91).
Total Amount
$307
General + Research + Ownership
Payments
12
Total payment records
General Amount
$307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041129000671 | I | Optometry | UT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 55 | $0 |
| 92014 | Established patient complete exam of visual system | 50 | 50 | $0 |
| 92134 | Imaging of retina | 38 | 27 | $0 |
| 92250 | Photography of the retina | 23 | 21 | $0 |
| 92004 | New patient complete exam of visual system | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84095)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | UT | 92134 | Diagnostic imaging of retina | 33 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | UT | |
| O P T O M E T R Y | UT |
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