MICHELLE RAE BRADDY M.D.
NPI 1619068061
Family Medicine in Dieterich, IL

Q: What is Michelle Braddy's NPI number?

The NPI number for Michelle Braddy is 1619068061. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Q: What is Michelle Braddy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Braddy was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

203 S MAIN ST, DIETERICH, IL 62424(217) 925-5730(217) 925-5736 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michelle Rae Braddy M.d. NPPES

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

MICHELLE RAE BRADDY M.D. (NPI 1619068061) is an individual family medicine provider in Dieterich, Illinois, licensed in Illinois (036120332) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2004).

NPPES Registry Identity

NPI1619068061

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMICHELLE RAE BRADDYCredential: M.D.

Location Address203 S MAIN STDieterich, IL 62424-1128

Mailing Address1207 Network Centre Dr, Suite 3Effingham, IL 62401-4632 · (217) 347-2707 · Fax (217) 347-2827

Phone(217) 925-5730

Fax(217) 925-5736

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2004

Enumeration DateSeptember 28, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1619068061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036120332

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.

203 S MAIN ST, Dieterich, IL 62424

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Other Names 1

Former Name (1)Michelle Rae Coleman M.d.

Other Identifiers 11

Other14D0921285IL · Clia Id Number

Other036120332IL · Illinois Physician License

Medicaid371391171005IL

Other930280IL · Healthlink

Other2523247IL · Blue Cross Blue Shield

OtherP00790343IL · Railroad Medicare

Medicaid036120332IL

Other336082411IL · Illinois Controlled Substance License

Other371391171005IL · Medicaid Rural Health

Other561920IL · Medicare Group Ptan

Other151351IL · Health Alliance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Michelle Rae Braddy 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 ID5597869339

PECOS Enrollment IDI20080829000033

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.

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62424 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

94.61/100

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

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 10

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

6 suppliers22 claims62 services$6.32 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers19 claims85 services$2.88 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers40 claims40 services$21.32 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers57 claims57 services$912.47 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers32 claims32 services$8.46 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers86 claims86 services$119.46 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

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

MRS. JENNIFER ELIZABETH KISTNER FNP

Nurse Practitioner

203 S MAIN ST
DIETERICH, IL 62424

Effingham County (217) 925-5730

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 Michelle Braddy's NPI number?

The NPI number for Michelle Braddy is 1619068061. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Michelle Braddy located?

Michelle Braddy practices at 203 S Main St, Dieterich, IL 62424. The listed phone number is (217) 925-5730.

What is Michelle Braddy's specialty?

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

Is Michelle Braddy enrolled in Medicare?

Yes. Michelle Braddy 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 Michelle Braddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michelle Braddy 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 Michelle Braddy affiliated with any hospitals?

According to CMS data, Michelle Braddy is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, St Marys Hospital, Sarah Bush Lincoln Health Center and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Braddy was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.