DR. PETER BRODERICK M.D., M.ED.
NPI 1285645002
Family Medicine in Modesto, CA
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Peter Broderick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95351
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organizations bill Medicare for Peter Broderick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Broderick reassigns Medicare benefits to 3 organizations: County Of Stanislaus (Modesto, CA), Sutter Valley Medical Foundation (Modesto, CA) and Sutter Bay Medical Foundation (Palo Alto, CA). 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 Peter 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 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.
# Dr. Peter Broderick, M.D., M.ED. · NPI 1285645002
Family Medicine physician in Modesto, California. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1285645002 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G63629 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 PARADISE RD, SUITE E, Modesto, CA 95351-3104
- **Phone:** (209) 558-4000 · **Fax:** (209) 558-5036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): County Of Stanislaus (NPI 1396941464, Modesto, CA); Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA); Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** July 22, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 00G636290; Medicare UPIN E50216
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Source: [NPI Profile](https://npiprofile.com/npi/1285645002) · Data from the CMS NPPES public registry.