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MS. LUCY BROADDUS MMS, PA-C, ATC.
NPI 1114299419
Physician Assistant in O Fallon, IL

Active since February 01, 2012PECOS EnrolledAccepts Medicare Assignment
310 N 7 HILLS RD STE 220, O FALLON, IL 62269(618) 624-6181 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Nov 23, 2021, Feb 4, 2021 and 2 more (5 updates tracked since 2016).

About Ms. Lucy Broaddus Mms, Pa-c, Atc. NPPES

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

MS. LUCY BROADDUS MMS, PA-C, ATC. (NPI 1114299419) is an individual physician assistant in O Fallon, Illinois, licensed in Illinois (085004281) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114299419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LUCY BROADDUSCredential: MMS, PA-C, ATC.
Location Address310 N 7 HILLS RD STE 220O Fallon, IL 62269-4111
Mailing Address310 N 7 Hills Rd Ste 220O Fallon, IL 62269-4111 · (618) 624-6181
Phone(618) 624-6181
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 1, 2012
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1114299419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085004281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
310 N 7 HILLS RD STE 220, O Fallon, IL 62269
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Other Names 1

Former Name (1)Lucy Elliott

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

Ms. Lucy Broaddus Mms, Pa-c, Atc. 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 ID3971732355
PECOS Enrollment IDI20160219001522
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 6

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.

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.
93 services58 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.
48 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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 9

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

SARAH ANN DURNELL FNP
Nurse Practitioner (Family)
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181
JENNIFER DIANA SZALKOWSKI MD
Family Medicine
310 N 7 HILLS RD STE 220
BELLEVILLE, IL 62269
St. Clair County (618) 624-6181
SCOTT F MORRISON MD
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181
CHRISTINA L MOORE P.A.
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (314) 448-3791
MOLLIE WETSTEIN MD
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181
MARGARET C HOESTER PA-C
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181
DR. MORGAN ALICE-PAIGE DELOZIER DO
Family Medicine
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181
TINA ANN CLOIN PA-C
Physician Assistant
310 N 7 HILLS RD STE 220
O FALLON, IL 62269
St. Clair County (618) 624-6181

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 Lucy Broaddus's NPI number?

The NPI number for Lucy Broaddus is 1114299419. It was assigned to this individual provider in the NPPES registry on February 1, 2012. The provider is also known as Lucy Elliott.

Where is Lucy Broaddus located?

Lucy Broaddus practices at 310 N 7 Hills Rd Ste 220, O Fallon, IL 62269. The listed phone number is (618) 624-6181.

What is Lucy Broaddus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lucy Broaddus enrolled in Medicare?

Yes. Lucy Broaddus 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.

Is Lucy Broaddus affiliated with any hospitals?

According to CMS data, Lucy Broaddus is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Lucy Broaddus was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.