DR. SIERRA RAE BROAD DO
NPI 1790478550
Surgery in Chicago, IL

Q: What is Sierra Broad's NPI number?

The NPI number for Sierra Broad is 1790478550. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Sierra Broad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Sierra Broad was last updated on May 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 30, 2023PECOS Enrolled

1750 W HARRISON ST STE 775, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sierra Rae Broad Do NPPES

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

DR. SIERRA RAE BROAD DO (NPI 1790478550) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125.082234) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790478550

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. SIERRA RAE BROADCredential: DO

Location Address1750 W HARRISON ST STE 775Chicago, IL 60612-3825

Mailing Address1750 W Harrison St Ste 775Chicago, IL 60612-3825

Phone(312) 942-5000

Sole ProprietorNo

Enumeration DateMay 30, 2023

NPPES CertifiedMay 30, 2023

✔ NPI 1790478550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 125.082234

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.

1750 W HARRISON ST STE 775, Chicago, IL 60612

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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. Sierra Rae Broad Do 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 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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