JUSTINE A BROECKER M.D.
NPI 1740713221
Surgery in Jacksonville, FL

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2020, Aug 9, 2019, Apr 11, 2017 (3 updates tracked since 2017).

About Justine A Broecker M.d. NPPES

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

JUSTINE A BROECKER M.D. (NPI 1740713221) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME141738) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1740713221
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameJUSTINE A BROECKERCredential: M.D.
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateSeptember 2, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
NPI 1740713221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME141738
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 727-5800

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

Justine A Broecker 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 ID1850661729
PECOS Enrollment IDI20231019000290
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

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

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.

Social Worker (Clinical)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Emergency Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Colon & Rectal Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Critical Care Medicine)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740713221, enumerated as an "individual" on April 11, 2017.

The provider is located at 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 and the phone number is (904) 953-2000.

Surgery with taxonomy code 208600000X.

Justine Broecker is affiliated with: GALLUP INDIAN MEDICAL CENTER.