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ANDREA M BROUGHTON APRN
NPI 1104177005
Nurse Practitioner - Family in Franklin, KY

Active since October 02, 2012PECOS Enrolled
87.53/100
CMS Quality Rating
1112 S MAIN ST STE 7, FRANKLIN, KY 42134(270) 745-7246(270) 282-2027 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea M Broughton Aprn NPPES

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

ANDREA M BROUGHTON APRN (NPI 1104177005) is an individual family provider in Franklin, Kentucky, licensed in Kentucky (3007584) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104177005
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA M BROUGHTONCredential: APRN
Location Address1112 S MAIN ST STE 7Franklin, KY 42134-2322
Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780
Phone(270) 745-7246
Fax(270) 282-2027
Sole ProprietorNo
Enumeration DateOctober 2, 2012
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1104177005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007584
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3007584 (KY)
1112 S MAIN ST STE 7, Franklin, KY 42134
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100262040KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea M Broughton Aprn 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

3

Medicare enrollment records show Andrea Broughton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Health Corporation, Inc.
0.1 mi
Surgery
1030 BROOKHAVEN RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1053653022 (270) 253-3147
Interventional Pain Specialists Of Bowling Green, Plc
0.1 mi
Pain Medicine
1112 S MAIN ST STE 7
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1205346210 (270) 745-7246
Commonwealth Pain Associates, PLLC
119 mi
Interventional Pain Medicine
120 EXECUTIVE PARK
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 193 clinicians in this Medicare group
NPI 1306280177 (502) 855-7200

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 5

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
143 services125 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services99 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
120 services102 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.
85 services73 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42134 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability100
Improvement Activities40
Cost68.08

Other Providers at the Same Location NPPES 4

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

INTERVENTIONAL PAIN SPECIALISTS OF BOWLING GREEN, PLC
Anesthesiology (Pain Medicine)
1112 S MAIN ST STE 7
FRANKLIN, KY 42134
Simpson County (270) 745-7246
MEGAN L. KEPLEY APRN
Nurse Practitioner
1112 S MAIN ST STE 7
FRANKLIN, KY 42134
Simpson County (270) 745-7246
COMMONWEALTH PAIN ASSOCIATES PLLC
Durable Medical Equipment & Medical Supplies
1112 S MAIN ST STE 7
FRANKLIN, KY 42134
Simpson County (270) 745-7246
MR. JOHN ANTHONY GARDNER II
Anesthesiology (Pain Medicine)
1112 S MAIN ST STE 7
FRANKLIN, KY 42134
Simpson County (270) 745-7246

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 Andrea Broughton's NPI number?

The NPI number for Andrea Broughton is 1104177005. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Where is Andrea Broughton located?

Andrea Broughton practices at 1112 S Main St Ste 7, Franklin, KY 42134. The listed phone number is (270) 745-7246.

What is Andrea Broughton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Broughton enrolled in Medicare?

Yes. Andrea Broughton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Broughton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Broughton reassigns Medicare benefits to 3 organizations: Commonwealth Health Corporation, Inc. (Franklin, KY), Interventional Pain Specialists Of Bowling Green, Plc (Franklin, KY) and Commonwealth Pain Associates, PLLC (Louisville, KY). 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 Andrea Broughton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Broughton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Andrea Broughton 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 Andrea Broughton was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.