WILLIAM A. BROUGHTON MD
NPI 1609827104
Internal Medicine - Pulmonary Disease in Mobile, AL

Q: What is William Broughton's NPI number?

The NPI number for William Broughton is 1609827104. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is William Broughton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for William Broughton was last updated on January 12, 2021. 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.

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102, MOBILE, AL 36617(251) 470-5890(251) 471-7925 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About William A. Broughton Md NPPES

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

WILLIAM A. BROUGHTON MD (NPI 1609827104) is an individual pulmonary disease provider in Mobile, Alabama, licensed in Alabama (10935) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1982).

NPPES Registry Identity

NPI1609827104

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameWILLIAM A. BROUGHTONCredential: MD

Location Address2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 102Mobile, AL 36617-2300

Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 470-5890 · Fax (251) 471-7925

Phone(251) 470-5890

Fax(251) 471-7925

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1982

Enumeration DateMay 12, 2006

Last NPPES UpdateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1609827104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in AL · 10935

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2451 UNIVERSITY HOSPITAL DRIVE, Mobile, AL 36617

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Other Identifiers 5

Medicaid260916900FL

Other48-10100AL · United Healthcare

Other51011776AL · Bcbs

Medicaid000011776AL

Medicaid00121544MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

William A. Broughton 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 ID5092844639

PECOS Enrollment IDI20100520000324

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

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.

47 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.76

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604