DR. JOHN SCOTT BRODERICK M.D.
NPI 1508939976
Psychiatry & Neurology - Clinical Neurophysiology in Mequon, WI
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
Specialties & Licenses
Accepted Insurance
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Broderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mequon, WI 53097
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 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 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.
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, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIMedicare 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.
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.
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.
MEQUON, WI 53097
MEQUON, WI 53097
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.
Which organization bills Medicare for John Broderick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Broderick reassigns Medicare benefits to Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI). 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 John Broderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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. John Scott Broderick, M.D. · NPI 1508939976
Clinical Neurophysiology physician in Mequon, Wisconsin. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1508939976 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Psychiatry & Neurology - Clinical Neurophysiology · taxonomy 2084N0600X
- **State license:** 46762-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 13133 N PORT WASHINGTON RD, SUITE G06, Mequon, WI 53097-2419
- **Phone:** (262) 243-8371 · **Fax:** (262) 243-8342
## 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:** Columbia St. Mary's Hospital Milwaukee, Inc (NPI 1710928221, Mequon, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2002
## Record status
- **NPPES last updated:** June 8, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1508939976) · Data from the CMS NPPES public registry.