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PETER BROEKELSCHEN MD
NPI 1366631525
Internal Medicine - Gastroenterology in Newport Beach, CA

Active since October 23, 2007PECOS Enrolled
1441 AVOCADO AVE STE 607, NEWPORT BEACH, CA 92660(949) 759-1042(949) 759-0143 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Broekelschen Md NPPES

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

PETER BROEKELSCHEN MD (NPI 1366631525) is an individual gastroenterology provider in Newport Beach, California, licensed in California (A25076) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366631525
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePETER BROEKELSCHENCredential: MD
Location Address1441 AVOCADO AVE STE 607Newport Beach, CA 92660-7707
Mailing Address1441 Avocado Ave Ste 607Newport Beach, CA 92660-7707 · (949) 759-1042 · Fax (949) 759-0143
Phone(949) 759-1042
Fax(949) 759-0143
Sole ProprietorYes
Enumeration DateOctober 23, 2007
Last NPPES UpdateApril 23, 2008
✔ NPI 1366631525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A25076
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1441 AVOCADO AVE STE 607, Newport Beach, CA 92660
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Other Identifiers 2

Medicare UPINA24275CA
Medicare PINWA25076A

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Broekelschen 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 Peter Broekelschen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peter H Broekelschen MD Inc
0.3 mi
Gastroenterology
1441 AVOCADO AVE, SUITE 607
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
NPI 1861501561 (949) 759-1042

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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
264 services153 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
71 services71 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
69 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services59 patients
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251
This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
59 services59 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Broekelschen's NPI number?

The NPI number for Peter Broekelschen is 1366631525. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Peter Broekelschen located?

Peter Broekelschen practices at 1441 Avocado Ave Ste 607, Newport Beach, CA 92660. The listed phone number is (949) 759-1042.

What is Peter Broekelschen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Peter Broekelschen enrolled in Medicare?

Yes. Peter Broekelschen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Broekelschen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Broekelschen reassigns Medicare benefits to Peter H Broekelschen MD Inc (Newport Beach, CA). 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 Peter Broekelschen'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 Broekelschen was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.