DR. JEFFERY WAYNE VAN DEN BROEK D.O.
NPI 1033180187
Internal Medicine - Gastroenterology in Columbia, MD

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
14.17/100
CMS Quality Rating
10710 CHARTER DR, SUITE 110, COLUMBIA, MD 21044(410) 992-9797(410) 730-0942 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffery Wayne Van Den Broek D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFERY WAYNE VAN DEN BROEK D.O. (NPI 1033180187) is an individual gastroenterology provider in Columbia, Maryland, licensed in Maryland (H0075616) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2000).

NPPES Registry Identity

NPI1033180187
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEFFERY WAYNE VAN DEN BROEKCredential: D.O.
Location Address10710 CHARTER DR, SUITE 110Columbia, MD 21044-3128
Mailing Address10710 Charter Dr, Suite 110Columbia, MD 21044-3128 · (410) 992-9797 · Fax (410) 730-0942
Fax(410) 730-0942
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2000
Enumeration DateJanuary 27, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1033180187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in MD · H0075616 Licensed in HI · DOS-945
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10710 CHARTER DR, Columbia, MD 21044

Secondary Practice Locations 14

Location 1194 Thomas Johnson DrFrederick, MD 21702-4679 · Phone (240) 215-6310
Location 216403 Old Emmitsburg RdEmmitsburg, MD 21727-8929 · Phone (240) 215-6310
Location 31194 Dutchmans Creek DrBrunswick, MD 21716-9786 · Phone (240) 215-6310
Location 4501 W 7th StFrederick, MD 21701-4586 · Phone (240) 215-6310
Location 515 E Frederick StWalkersville, MD 21793-8234 · Phone (240) 215-6310
Location 63000D Ventrie CtMyersville, MD 21773-7817 · Phone (240) 215-6310
Location 7504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 215-6310
Location 81562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 215-6310
Location 93430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 215-6310
Location 107211 Bank CtFrederick, MD 21703-8483 · Phone (240) 215-6310
Location 11400 W 7th StFrederick, MD 21701-4506 · Phone (240) 215-6310
Location 12141 Thomas Johnson DrFrederick, MD 21702-4502 · Phone (301) 846-0100
Location 131 Frederick Health WayFrederick, MD 21701-9435 · Phone (240) 215-6310
Location 1475 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 215-6310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffery Wayne Van Den Broek D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325103070
PECOS Enrollment IDI20130909000023, I20240416001022
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
144 services141 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
109 services71 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
88 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services78 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
78 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

14.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost47.23

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%571 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,600 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%515 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%355 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%485 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%1,300 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 73% · 280 patients
74%280 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%485 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 379 patients
1%379 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
10710 CHARTER DR, SUITE G020
COLUMBIA, MD 21044
Internal Medicine (Hematology & Oncology)
10710 CHARTER DR, SUITE G020
COLUMBIA, MD 21044
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10710 CHARTER DR, STE 410
CIOLUMBIA, MD 21044
Urology
10710 CHARTER DR, SUITE 130
COLUMBIA, MD 21044
Orthopaedic Surgery
10710 CHARTER DR, SUITE 300
COLUMBIA, MD 21044
Obstetrics & Gynecology
10710 CHARTER DR, MEDICAL PAVILION AT HOWARD COUNTY-SUITE 200
COLUMBIA, MD 21044
Surgery
10710 CHARTER DR, STE 230
COLUMBIA, MD 21044
Internal Medicine (Medical Oncology)
10710 CHARTER DR, SUITE G020
COLUMBIA, MD 21044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Van Den Broek's NPI number?

The NPI number for Jeffery Van Den Broek is 1033180187. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jeffery Van Den Broek located?

Jeffery Van Den Broek practices at 10710 Charter Dr Suite 110, Columbia, MD 21044. The listed phone number is (410) 992-9797.

What is Jeffery Van Den Broek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffery Van Den Broek enrolled in Medicare?

Yes. Jeffery Van Den Broek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffery Van Den Broek was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.