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MICHAEL H BRODERDORF MD
NPI 1346209301
Emergency Medicine in Rochester, MN

Active since March 20, 2006PECOS Enrolled
401 16TH AVE NW STE 106, ROCHESTER, MN 55901(507) 258-4680 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael H Broderdorf Md NPPES

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

MICHAEL H BRODERDORF MD (NPI 1346209301) is an individual emergency medicine provider in Rochester, Minnesota, licensed in Minnesota (38976) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346209301
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL H BRODERDORFCredential: MD
Location Address401 16TH AVE NW STE 106Rochester, MN 55901-1853
Mailing Address401 16th Ave Nw Ste 106Rochester, MN 55901-1853 · (507) 258-4680
Phone(507) 258-4680
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateNovember 28, 2022
NPPES CertifiedNovember 28, 2022
✔ NPI 1346209301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 38976
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 38976 (MN)
401 16TH AVE NW STE 106, Rochester, MN 55901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael H Broderdorf Md 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 Reassignment

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

Minnesota Mobile Exams LLC
Same address
Urgent Care
401 16TH AVE NW STE 106
Rochester, MN 55901
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1255906426 (507) 258-4680

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

MINNESOTA MOBILE EXAMS LLC
Clinic/Center (Urgent Care)
401 16TH AVE NW STE 106
ROCHESTER, MN 55901
Olmsted County (507) 258-4680
REBOUND HEALTH SERVICE LLC
Clinic/Center (Primary Care)
401 16TH AVE NW STE 106
ROCHESTER, MN 55901
Olmsted County (507) 258-4680

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 Michael Broderdorf's NPI number?

The NPI number for Michael Broderdorf is 1346209301. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Michael Broderdorf located?

Michael Broderdorf practices at 401 16th Ave NW Ste 106, Rochester, MN 55901. The listed phone number is (507) 258-4680.

What is Michael Broderdorf's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Broderdorf enrolled in Medicare?

Yes. Michael Broderdorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Broderdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Broderdorf reassigns Medicare benefits to Minnesota Mobile Exams LLC (Rochester, MN). 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 Michael Broderdorf'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 Michael Broderdorf was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.