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DEREK LEE BROERING MD
NPI 1053677831
Emergency Medicine in Kettering, OH

Active since April 06, 2012PECOS Enrolled
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 384-6800(937) 384-6938 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derek Lee Broering Md NPPES

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

DEREK LEE BROERING MD (NPI 1053677831) is an individual emergency medicine provider in Kettering, Ohio, licensed in Ohio (35.122640) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053677831
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDEREK LEE BROERINGCredential: MD
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3535 Southern Blvd.Ketterng, OH 45429-1221 · (937) 395-8839 · Fax (937) 395-8387
Phone(937) 384-6800
Fax(937) 384-6938
Sole ProprietorYes
Enumeration DateApril 6, 2012
Last NPPES UpdateAugust 18, 2016
✔ NPI 1053677831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35.122640
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3535 SOUTHERN BLVD, Kettering, OH 45429
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Other Identifiers 2

Medicaid0099105OH
Medicare PINH289260OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Lee Broering Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Broering reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phs Emergency Billing LLC
3.4 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 143 clinicians in this Medicare group
NPI 1578387486 (937) 208-3356
Miami Valley Emergency Specialists, LLC
3.8 mi
Emergency Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1821189085 (513) 281-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
256 services251 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services74 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 Derek Broering's NPI number?

The NPI number for Derek Broering is 1053677831. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Derek Broering located?

Derek Broering practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 384-6800.

What is Derek Broering's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derek Broering enrolled in Medicare?

Yes. Derek Broering is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Broering's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Broering reassigns Medicare benefits to 2 organizations: Phs Emergency Billing LLC (Dayton, OH) and Miami Valley Emergency Specialists, LLC (Dayton, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Broering's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Broering accept?

Health plans from CareSource list Derek Broering as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Broering was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.