KELLY CLARK BRODERICK M.D.
NPI 1609821891
Radiology - Diagnostic Radiology in San Mateo, CA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
100 S SAN MATEO DR, SAN MATEO, CA 94401(650) 696-4515(650) 696-4626 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Clark Broderick M.d. NPPES

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

KELLY CLARK BRODERICK M.D. (NPI 1609821891) is an individual diagnostic radiology provider in San Mateo, California, licensed in California (G78759) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1992).

NPPES Registry Identity

NPI1609821891
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameKELLY CLARK BRODERICKCredential: M.D.
Location Address100 S SAN MATEO DRSan Mateo, CA 94401-3805
Mailing AddressPo Box 6102Novato, CA 94948-6102 · (415) 884-3418 · Fax (415) 883-3406
Fax(650) 696-4626
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1992
Enumeration DateMay 24, 2006
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
NPI 1609821891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G78759
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G78759 (CA)
100 S SAN MATEO DR, San Mateo, CA 94401

Other Identifiers 4

Medicaid00G787590CA
Other300121755CA · Railroad Medicare
Other00G787590CA · Blue Cross
Other300121792CA · Railroad Medicare

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

Kelly Clark 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 ID4385717008
PECOS Enrollment IDI20080714000398
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 47

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
746 services746 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
746 services746 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
331 services331 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
324 services299 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
276 services275 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
270 services268 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
82%67 patients
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%28 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%315 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%312 patients
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 20

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

Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
Psychiatric Unit
100 S SAN MATEO DR
SAN MATEO, CA 94401
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
Allergy & Immunology
100 S SAN MATEO DR, STE 400
SAN MATEO, CA 94401
Internal Medicine (Cardiovascular Disease)
100 S SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
Physical Therapist
100 S SAN MATEO DR
SAN MATEO, CA 94401
Nurse Practitioner (Pediatrics)
100 S SAN MATEO DR, 3RD FLOOR, RM 3364
SAN MATEO, CA 94401
Internal Medicine
100 S SAN MATEO DR
SAN MATEO, CA 94401

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 Kelly Broderick's NPI number?

The NPI number for Kelly Broderick is 1609821891. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Kelly Broderick located?

Kelly Broderick practices at 100 S San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 696-4515.

What is Kelly Broderick's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kelly Broderick enrolled in Medicare?

Yes. Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Broderick was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.