DR. JOHN SCOTT BRODERICK M.D.
NPI 1508939976
Psychiatry & Neurology - Clinical Neurophysiology in Mequon, WI

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
13133 N PORT WASHINGTON RD, SUITE G06, MEQUON, WI 53097(262) 243-8371(262) 243-8342 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Scott Broderick M.d. NPPES

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

DR. JOHN SCOTT BRODERICK M.D. (NPI 1508939976) is an individual clinical neurophysiology provider in Mequon, Wisconsin, licensed in Wisconsin (46762-020) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1508939976
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameDR. JOHN SCOTT BRODERICKCredential: M.D.
Location Address13133 N PORT WASHINGTON RD, SUITE G06Mequon, WI 53097-2419
Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clnic CredentialingGlendale, WI 53212-1082 · (262) 243-8371 · Fax (262) 243-8342
Fax(262) 243-8342
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2002
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 8, 2012
NPI 1508939976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License Licensed in WI · 46762-020
Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

13133 N PORT WASHINGTON RD, Mequon, WI 53097

Accepted Insurance

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. John Scott Broderick M.d. 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 ID4688771587
PECOS Enrollment IDI20070529000230
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 11

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.
114 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
91 services91 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
71 services41 patients
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.
69 services64 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.
68 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
54 services36 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing E0424
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$64.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Gerontology)
13133 N PORT WASHINGTON RD, SUITE 122
MEQUON, WI 53097
Specialist
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Physician Assistant
13133 N PORT WASHINGTON RD, SUITE 104
MEQUON, WI 53097
Internal Medicine (Gastroenterology)
13133 N PORT WASHINGTON RD, SUITE G16
MEQUON, WI 53097
Internal Medicine (Cardiovascular Disease)
13133 N PORT WASHINGTON RD, SUITE 11
MEQUON, WI 53097
Internal Medicine
13133 N PORT WASHINGTON RD, SUITE G18
MEQUON, WI 53097
Nurse Practitioner
13133 N PORT WASHINGTON RD, SUITE G-18
MEQUON, WI 53097
Nurse Practitioner (Adult Health)
13133 N PORT WASHINGTON RD
MEQUON, WI 53097

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 John Broderick's NPI number?

The NPI number for John Broderick is 1508939976. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is John Broderick located?

John Broderick practices at 13133 N Port Washington Rd Suite G06, Mequon, WI 53097. The listed phone number is (262) 243-8371.

What is John Broderick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is John Broderick enrolled in Medicare?

Yes. John 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.

What insurance does John Broderick accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list John Broderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Broderick affiliated with any hospitals?

According to CMS data, John Broderick is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension SE Wisconsin Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for John Broderick was last updated on June 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.