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DR. GERALD JAY BROOCK M.D.
NPI 1780952515
Orthopaedic Surgery in Portland, OR

Active since December 07, 2011PECOS Enrolled
123 NW 12TH AVE, APT. 1426, PORTLAND, OR 97209(757) 561-6056 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gerald Jay Broock M.d. NPPES

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

DR. GERALD JAY BROOCK M.D. (NPI 1780952515) is an individual orthopaedic surgery provider in Portland, Oregon, licensed in Oregon (MD27913) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780952515
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GERALD JAY BROOCKCredential: M.D.
Location Address123 NW 12TH AVE, APT. 1426Portland, OR 97209-4143
Mailing Address123 Nw 12th Ave, Apt. 1426Portland, OR 97209-4143 · (757) 561-6056
Phone(757) 561-6056
Sole ProprietorYes
Enumeration DateDecember 7, 2011
✔ NPI 1780952515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OR · MD27913
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
123 NW 12TH AVE, Portland, OR 97209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerald Jay Broock M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97209 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES

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

ISABELLE DOUSARKISSIAN M.A.
Counselor (Mental Health)
123 NW 12TH AVE
PORTLAND, OR 97209
Multnomah County (310) 739-7573

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 Gerald Broock's NPI number?

The NPI number for Gerald Broock is 1780952515. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Where is Gerald Broock located?

Gerald Broock practices at 123 NW 12th Ave Apt. 1426, Portland, OR 97209. The listed phone number is (757) 561-6056.

What is Gerald Broock's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gerald Broock enrolled in Medicare?

Yes. Gerald Broock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerald Broock was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.