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DR. KRISTEN PARKER BRODERICK MD
NPI 1891915021
Surgery - Plastic and Reconstructive Surgery in Baltimore, MD

Active since April 30, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE, SUITE A520, BALTIMORE, MD 21224(410) 550-0407(410) 550-1808 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kristen Parker Broderick Md NPPES

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

DR. KRISTEN PARKER BRODERICK MD (NPI 1891915021) is an individual plastic and reconstructive surgery provider in Baltimore, Maryland, licensed in Maryland (D0080874) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2002).

NPPES Registry Identity

NPI1891915021
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. KRISTEN PARKER BRODERICKCredential: MD
Location Address4940 EASTERN AVE, SUITE A520Baltimore, MD 21224-2735
Mailing Address4940 Eastern Ave, Suite A520Baltimore, MD 21224-2735 · (410) 550-0407 · Fax (410) 550-1808
Phone(410) 550-0407
Fax(410) 550-1808
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2002
Enumeration DateApril 30, 2007
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1891915021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MD · D0080874
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4940 EASTERN AVE, Baltimore, MD 21224
Open in Google Maps ↗

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. Kristen Parker Broderick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830346063
PECOS Enrollment IDI20160219000303
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Kristen Broderick's NPI number?

The NPI number for Kristen Broderick is 1891915021. It was assigned to this individual provider in the NPPES registry on April 30, 2007.

Where is Kristen Broderick located?

Kristen Broderick practices at 4940 Eastern Ave Suite A520, Baltimore, MD 21224. The listed phone number is (410) 550-0407.

What is Kristen Broderick's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Kristen Broderick enrolled in Medicare?

Yes. Kristen Broderick is registered in the Medicare PECOS enrollment system.

Is Kristen Broderick affiliated with any hospitals?

According to CMS data, Kristen Broderick is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Broderick was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.