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DAWN BRODERICK M.D.
NPI 1801899489
Internal Medicine in Olney, MD

Active since May 27, 2005Opted out of Medicare · through Aug 23, 2026CLIA 21D2046823 · Waiver
18111 PRINCE PHILIP DR, SUITE 201, OLNEY, MD 20832(301) 774-7714(301) 686-7164 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dawn Broderick M.d. NPPES

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

DAWN BRODERICK M.D. (NPI 1801899489) is an individual internal medicine provider in Olney, Maryland, licensed in Maryland (D0045956) and active in the NPI registry since May 2005. She has opted out of Medicare through August 23, 2026 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through September 11, 2026.

NPPES Registry Identity

NPI1801899489
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDAWN BRODERICKCredential: M.D.
Location Address18111 PRINCE PHILIP DR, SUITE 201Olney, MD 20832-1513
Mailing Address18111 Prince Philip Dr, Suite 201Olney, MD 20832-1513 · (301) 774-7714 · Fax (301) 686-7164
Phone(301) 774-7714
Fax(301) 686-7164
Sole ProprietorYes
Enumeration DateMay 27, 2005
Last NPPES UpdateApril 27, 2015
✔ NPI 1801899489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0045956
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18111 PRINCE PHILIP DR, Olney, MD 20832
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dawn Broderick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 23, 2012 through August 23, 2026.

Opt-Out Effective DateAugust 23, 2012
Opt-Out In Effect ThroughAugust 23, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2046823

Dawn Broderick, MD · Olney, MD
Active · expires Sep 11, 2026
CLIA Number21D2046823
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorDr. Dawn A. Broderick
Laboratory Phone(301) 774-7714
Laboratory LocationDawn Broderick, MD18111 Prince Philip Drive #201, Olney, MD 20832
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20832 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$6.92 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$4.76 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$10.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$35.84 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier13 claims52 services$3.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers16 claims88 services$16.50 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 20

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

MEDSTAR MEDICAL GROUP II LLC
General Practice
18111 PRINCE PHILIP DR
OLNEY, MD 20832
Montgomery County (301) 570-8535
THE NEUROLOGY CLINIC OF WASHINGTON
Specialist
18111 PRINCE PHILIP DR, STE 201
OLNEY, MD 20832
Montgomery County (301) 260-7600
DR. APRIL D TWEEDT D.O.
Family Medicine (Adolescent Medicine)
18111 PRINCE PHILIP DR, T-12
OLNEY, MD 20832
Montgomery County (301) 570-7770
DR. MORRIS SHELDON ALBERT MD
Pediatrics
18111 PRINCE PHILIP DR, #311
OLNEY, MD 20832
Montgomery County (301) 774-4100
STEVEN M SHIMOURA MD PA
Otolaryngology
18111 PRINCE PHILIP DR, SUITE 123
OLNEY, MD 20832
Montgomery County (301) 570-1333
ROBERT J KREITMAN MP
Internal Medicine (Hematology & Oncology)
18111 PRINCE PHILIP DR, #327
OLNEY, MD 20832
Montgomery County (301) 774-6136
SHERRY HOOD DULLING CRNP
Nurse Practitioner (Family)
18111 PRINCE PHILIP DR, SUITE 300
OLNEY, MD 20832
Montgomery County (301) 774-2991
DR. CHRISTOPHER JOHN MAYS M.D.
Internal Medicine
18111 PRINCE PHILIP DR, SUITE 207
OLNEY, MD 20832
Montgomery County (301) 774-7170

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 Dawn Broderick's NPI number?

The NPI number for Dawn Broderick is 1801899489. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Dawn Broderick located?

Dawn Broderick practices at 18111 Prince Philip Dr Suite 201, Olney, MD 20832. The listed phone number is (301) 774-7714.

What is Dawn Broderick's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dawn Broderick enrolled in Medicare?

No. Dawn Broderick has opted out of Medicare through August 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Dawn Broderick hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2046823) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dawn Broderick was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.