Active NPI 1619252418 Individual Practitioner Male Practitioner

Dr. Ryan C Broderick , MD

Surgery • San Diego, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Broderick, MD is a certified Surgery practicing in San Diego, CA. With approximately 15 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2011, Dr. Broderick delivers high-quality medical care to the local community at 200 W ARBOR DR.

Dr. Broderick is affiliated with Regents Of The University Of California and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 W Arbor Dr

San Diego, CA 92103

Telephone 6192900536

Associated Practice Facility / Clinic

🏢 Regents Of The University Of California Ucsd Head And Neck Surgery Facility NPI 1679509962

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in San Diego, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -7.4 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

167 Specialists

Practicing in San Diego, CA (3346 Statewide)

Telehealth Adoption Rate

10.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broderick (15 Years) 15 Yrs

San Diego Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$611.31	$173.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$388.71	$136.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$776.20	$232.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$555.50	$191.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$588.63	$135.98
49650 Repair of groin hernia using an endoscope	13	13	$2181.08	$497.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$391.00	$99.52
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2657.75	$716.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$559.00	$176.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$368.62	$130.14
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$255.00	$88.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$719.00	$227.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$513.88	$137.78
49650 Repair of groin hernia using an endoscope	16	16	$1985.50	$519.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$543.00	$188.14
49505 Repair of groin hernia (5 years or older)	12	12	$1756.00	$449.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$556.85	$176.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$366.53	$134.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$719.00	$233.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$543.00	$190.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$447.00	$141.87
49650 Repair of groin hernia using an endoscope	13	13	$1555.08	$457.48
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$255.00	$98.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$347.38	$140.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$541.90	$174.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$502.71	$195.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$675.32	$237.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$476.55	$143.19
49505 Repair of groin hernia (5 years or older)	11	11	$1693.09	$477.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$335.00	$115.47
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$228.00	$80.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$137.00	$46.29

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A124721

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.

Hospital & Practice Group Affiliations

Regents Of The University Of California

200 W Arbor Dr, San Diego, CA 921031920

Phone: 8582496753

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Ramin Motarjemi , MD

Internal Medicine - Geriatric Medicine

NPI 1003016023

Doctor of Medicine (M.D.)

Dr. Kyle Edmonds , MD, FAAHPM

Hospice, Inpatient

NPI 1003044728

Doctor of Medicine (M.D.), FAAHPM

Dr. Shawn Vedamani , MD

Anesthesiology

NPI 1003047531

Doctor of Medicine (M.D.)

Dale Trujillo , NP

Nurse Practitioner

NPI 1003104423

Nurse Practitioner

Kaylee Petersen , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003152364

Advanced Registered Nurse Practitioner

Irene Nevarez , NP

Nurse Practitioner

NPI 1003166646

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 26, 2018

Registered at 200 W ARBOR DR, SAN DIEGO, CA 92103 (Tel: 6192900536)

📍

Updated Business Mailing Address July 26, 2018

Registered at PO BOX 232410, SAN DIEGO, CA 921932410

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2018

Surgery (License #A124721 in CA)

✅

NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2016

Registered at 200 W ARBOR DR, SAN DIEGO, CA 921039000 (Tel: 6192900536)

📍

Updated Business Mailing Address June 30, 2016

Registered at 200 W ARBOR DRIVE, MC 8440, SAN DIEGO, CA 92103 (Tel: 6195436222)

👤

Provider Name / Credentials Updated June 30, 2016

Recorded as RYAN BRODERICK, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration October 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619252418

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 12, 2011

Last Update: July 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 232410

San Diego, CA 921932410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.