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DR. PETER BRODERICK M.D., M.ED.
NPI 1285645002
Family Medicine in Modesto, CA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
401 PARADISE RD, SUITE E, MODESTO, CA 95351(209) 558-4000(209) 558-5036 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Broderick M.d., M.ed. NPPES

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

DR. PETER BRODERICK M.D., M.ED. (NPI 1285645002) is an individual family medicine provider in Modesto, California, licensed in California (G63629) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1285645002
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER BRODERICKCredential: M.D., M.ED.
Location Address401 PARADISE RD, SUITE EModesto, CA 95351-3104
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(209) 558-4000
Fax(209) 558-5036
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 22, 2015
✔ NPI 1285645002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G63629
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 PARADISE RD, Modesto, CA 95351
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Other Identifiers 2

Medicare ID-Type Unspecified00G636290Mcr Individual
Medicare UPINE50216

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. Peter Broderick M.d., M.ed. 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 ID4183722317
PECOS Enrollment IDI20100205000590
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 7

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.
159 services140 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.
76 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services31 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
18 services17 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95351 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

DR. CHUN JOEY CHANG M.D.
Emergency Medicine
401 PARADISE RD, #E
MODESTO, CA 95351
Stanislaus County (209) 558-5107
NEGIN TAHER
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
ANDERS E GRANT MD
Student in an Organized Health Care Education/Training Program
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 525-6225
MR. MARCIO CORREA PA-C
Physician Assistant
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 722-4842
SUMERRA KHAN D.O.
Family Medicine
401 PARADISE RD, STE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000
STANISLAUS COUNTY
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Stanislaus County (209) 558-5142
DR. PATRICIO CLAVECILLAS JR. MD
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000

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 Peter Broderick's NPI number?

The NPI number for Peter Broderick is 1285645002. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Peter Broderick located?

Peter Broderick practices at 401 Paradise Rd Suite E, Modesto, CA 95351. The listed phone number is (209) 558-4000.

What is Peter Broderick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Peter Broderick enrolled in Medicare?

Yes. Peter Broderick 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 Peter Broderick was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.