MR. DEMETRIOS THOMAS BRADDOCK MD
NPI 1720069024
Pathology - Anatomic Pathology in New Haven, CT

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
800 HOWARD AVE, YALE PHYSICIANS BLDG, NEW HAVEN, CT 06519(203) 785-2140(203) 785-6414 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Demetrios Thomas Braddock Md NPPES

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

MR. DEMETRIOS THOMAS BRADDOCK MD (NPI 1720069024) is an individual anatomic pathology provider in New Haven, Connecticut, licensed in Connecticut (042128) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1996).

NPPES Registry Identity

NPI1720069024
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameMR. DEMETRIOS THOMAS BRADDOCKCredential: MD
Location Address800 HOWARD AVE, YALE PHYSICIANS BLDGNew Haven, CT 06519-1369
Mailing AddressPo Box 9805, 300 George St 6th FloorNew Haven, CT 06536-0805 · (203) 785-7998 · Fax (203) 785-6414
Fax(203) 785-6414
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1996
Enumeration DateNovember 14, 2005
Last NPPES UpdateJanuary 3, 2008
NPI 1720069024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in CT · 042128
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
800 HOWARD AVE, New Haven, CT 06519

Other Identifiers 1

Medicare UPINI05743

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

Mr. Demetrios Thomas Braddock 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 ID9234114612
PECOS Enrollment IDI20040621000763, I20201207002166
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 12

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.

Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
5,310 services235 patients
Flow cytometry technique for dna or cell analysis, first marker 88184
Flow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.
243 services235 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
221 services217 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
217 services72 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
153 services53 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
113 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Nurse Practitioner (Family)
800 HOWARD AVE
NEW HAVEN, CT 06519
Surgery
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Nurse Practitioner
800 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Medical Oncology)
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519
Clinical Nurse Specialist (Gerontology)
800 HOWARD AVE
NEW HAVEN, CT 06519
Physical Medicine & Rehabilitation
800 HOWARD AVE
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Psychiatry & Neurology (Neuromuscular Medicine)
800 HOWARD AVE
NEW HAVEN, CT 06519

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 Demetrios Braddock's NPI number?

The NPI number for Demetrios Braddock is 1720069024. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Demetrios Braddock located?

Demetrios Braddock practices at 800 Howard Ave Yale Physicians Bldg, New Haven, CT 06519. The listed phone number is (203) 785-2140.

What is Demetrios Braddock's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Demetrios Braddock enrolled in Medicare?

Yes. Demetrios Braddock 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 Demetrios Braddock was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.