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VADJISTA BROUMAND MD
NPI 1376537308
Internal Medicine in Fayetteville, NY

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
96.37/100
CMS Quality Rating
4110 MEDICAL CENTER DR, SUITE 110, FAYETTEVILLE, NY 13066(315) 663-0100(315) 663-0052 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vadjista Broumand Md NPPES

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

VADJISTA BROUMAND MD (NPI 1376537308) is an individual internal medicine provider in Fayetteville, New York, licensed in New York (235818) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2000).

NPPES Registry Identity

NPI1376537308
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVADJISTA BROUMANDCredential: MD
Location Address4110 MEDICAL CENTER DR, SUITE 110Fayetteville, NY 13066
Mailing Address4110 Medical Center Dr, Suite 110Fayetteville, NY 13066 · (315) 663-0100 · Fax (315) 663-0052
Phone(315) 663-0100
Fax(315) 663-0052
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2000
Enumeration DateSeptember 6, 2005
Last NPPES UpdateDecember 10, 2014
✔ NPI 1376537308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 235818
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4110 MEDICAL CENTER DR, Fayetteville, NY 13066
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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

Vadjista Broumand Md 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 ID7012932700
PECOS Enrollment IDI20051012000005
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 4

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
102 services18 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.
24 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
22 services21 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.74
Improvement Activities40

Reported Quality Measures

Advance Care Plan
75%20 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
90%50 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

MRS. JESSICA FAYE BOUCHARD RPA-C
Physician Assistant (Medical)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
AMIN FAZELI MD
Dermatology
4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
DR. FAZELI & DR. BROUMAND LLC
Dermatology
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
MELISSA ROE PA
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
MS. KATEY WALDON NP
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
RACHEL MARIE DAMON RPA-C
Physician Assistant
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
CHRISTINE SHAFFER NP
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100
MEGHAN L DORAN
Nurse Practitioner (Family)
4110 MEDICAL CENTER DR, SUITE 100
FAYETTEVILLE, NY 13066
Onondaga County (315) 663-0100

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 Vadjista Broumand's NPI number?

The NPI number for Vadjista Broumand is 1376537308. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Vadjista Broumand located?

Vadjista Broumand practices at 4110 Medical Center Dr Suite 110, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Vadjista Broumand's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vadjista Broumand enrolled in Medicare?

Yes. Vadjista Broumand 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 Vadjista Broumand was last updated on December 10, 2014. 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.