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DR. ROBERT BRODERICK M.D.
NPI 1275537656
Ophthalmology in Manhasset, NY

Active since June 13, 2005PECOS Enrolled
1355 NORTHERN BLVD, STE 300, MANHASSET, NY 11030(516) 627-3232(516) 365-1893 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2019, Mar 23, 2017 (2 updates tracked since 2017).

About Dr. Robert Broderick M.d. NPPES

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

DR. ROBERT BRODERICK M.D. (NPI 1275537656) is an individual ophthalmology provider in Manhasset, New York, licensed in New York (141375) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1977).

NPPES Registry Identity

NPI1275537656
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROBERT BRODERICKCredential: M.D.
Location Address1355 NORTHERN BLVD, STE 300Manhasset, NY 11030-3023
Mailing Address825 E Gate Blvd Ste 111Garden City, NY 11530-2136 · (516) 804-5200 · Fax (516) 240-6540
Phone(516) 627-3232
Fax(516) 365-1893
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1977
Enumeration DateJune 13, 2005
Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration
✔ NPI 1275537656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 141375
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1355 NORTHERN BLVD, Manhasset, NY 11030
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Other Identifiers 1

Medicaid1508649NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Broderick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446297832
PECOS Enrollment IDI20050418000303
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 Reassignment

Medicare enrollment records show Robert Broderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmic Consultants Of Long Island
8.1 mi
Ophthalmology
2000 N VILLAGE AVE, SUITE 402
Rockville Centre, NY 11570
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group
NPI 1285675660 (516) 766-2519

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 11

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
714 services652 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
182 services158 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
149 services136 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.
115 services108 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
68 services63 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
67 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Robert Broderick's NPI number?

The NPI number for Robert Broderick is 1275537656. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Robert Broderick located?

Robert Broderick practices at 1355 Northern Blvd Ste 300, Manhasset, NY 11030. The listed phone number is (516) 627-3232.

What is Robert Broderick's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Broderick enrolled in Medicare?

Yes. Robert Broderick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Broderick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Broderick reassigns Medicare benefits to Ophthalmic Consultants Of Long Island (Rockville Centre, NY). The 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 Robert Broderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Broderick was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.