COLIN MICHAEL BRODERICK PA-C
NPI 1982089066
Physician Assistant in Rockford, IL

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
70.99/100
CMS Quality Rating
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jul 18, 2022, Jun 7, 2022 (3 updates tracked since 2022).

About Colin Michael Broderick Pa-c NPPES

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

COLIN MICHAEL BRODERICK PA-C (NPI 1982089066) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085-008977) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982089066
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOLIN MICHAEL BRODERICKCredential: PA-C
Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 30, 2015
Last NPPES UpdateMay 18, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1982089066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085-008977
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5875 E RIVERSIDE BLVD, Rockford, IL 61114

Accepted Insurance

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

Colin Michael Broderick Pa-c 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 ID5092194035
PECOS Enrollment IDI20220621003152, I20230613002826
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 15

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
1,725 services20 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,506 services173 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
720 services11 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
442 services211 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
283 services204 patients
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.
204 services161 patients

Hospital Affiliations CMS Care Compare 3

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

70.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61
Promoting Interoperability74
Improvement Activities40
Cost63.98

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.

Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Podiatrist (Foot & Ankle Surgery)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Nurse Practitioner
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Physical Medicine & Rehabilitation
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology (Pain Medicine)
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Anesthesiology
5875 E RIVERSIDE BLVD
ROCKFORD, IL 61114

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 Colin Broderick's NPI number?

The NPI number for Colin Broderick is 1982089066. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Colin Broderick located?

Colin Broderick practices at 5875 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 398-9491.

What is Colin Broderick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Colin Broderick enrolled in Medicare?

Yes. Colin Broderick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colin Broderick accept?

Health plans from Quartz list Colin Broderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Colin Broderick affiliated with any hospitals?

According to CMS data, Colin Broderick is affiliated with Fhn Memorial Hospital, Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Colin Broderick was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.