ROBERT EDWARD BROKER M.D.
NPI 1558304550
Family Medicine in Simpsonville, SC

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
717 SE MAIN ST, SIMPSONVILLE, SC 29681(864) 522-5400(864) 522-5405 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017, Jan 27, 2016 (3 updates tracked since 2016).

About Robert Edward Broker M.d. NPPES

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

ROBERT EDWARD BROKER M.D. (NPI 1558304550) is an individual family medicine provider in Simpsonville, South Carolina, licensed in South Carolina (12520) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and is a graduate of Medical College Of Georgia School Of Medicine (1985).

NPPES Registry Identity

NPI1558304550
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT EDWARD BROKERCredential: M.D.
Location Address717 SE MAIN STSimpsonville, SC 29681-3237
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6308
Fax(864) 522-5405
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1985
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1558304550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 12520
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

717 SE MAIN ST, Simpsonville, SC 29681

Other Identifiers 1

Medicaid125206SC

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

Robert Edward Broker 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 ID5193807238
PECOS Enrollment IDI20080129000497
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 13

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.
504 services246 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.
262 services225 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
194 services194 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
120 services109 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
114 services88 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
92 services91 patients

Hospital Affiliations CMS Care Compare 5

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420033
Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County
Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420037
Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County
Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420102
Location175 Patewood DriveGreenville, SC 29615 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers30 claims94 services$6.49 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims31 services$1.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers37 claims37 services$35.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers22 claims22 services$80.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims60 services$30.51 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 11

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

Nurse Practitioner (Family)
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Family Medicine
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Family Medicine
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Nurse Practitioner
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Nurse Practitioner (Family)
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Family Medicine
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Family Medicine
717 SE MAIN ST
SIMPSONVILLE, SC 29681
Family Medicine
717 SE MAIN ST
SIMPSONVILLE, SC 29681

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 Robert Broker's NPI number?

The NPI number for Robert Broker is 1558304550. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Robert Broker located?

Robert Broker practices at 717 SE Main St, Simpsonville, SC 29681. The listed phone number is (864) 522-5400.

What is Robert Broker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Broker enrolled in Medicare?

Yes. Robert Broker 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 Robert Broker accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Robert Broker 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 Robert Broker affiliated with any hospitals?

According to CMS data, Robert Broker is affiliated with St Francis-Downtown, Prisma Health Greer Memorial Hospital, Prisma Health Hillcrest Hospital, Prisma Health Greenville Memorial Hospital and Prisma Health Patewood Hospital.

When was this NPI record last updated?

The NPPES record for Robert Broker was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.