Active NPI 1326038175 Individual Practitioner Male Practitioner

Dr. Mark Brodersen , MD

Orthopaedic Surgery • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Brodersen, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Jacksonville, FL. Practice services are available at 4500 SAN PABLO RD S under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

82 Specialists

Practicing in Jacksonville, FL (1597 Statewide)

Telehealth Adoption Rate

15.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

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	30	30	$119.24	$102.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$67.13	$42.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	41	$6.99	$1.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$118.56	$101.42
99213 Established patient office or other outpatient visit, typically 15 minutes	95	89	$82.58	$67.89
20610 Aspiration and/or injection of fluid from large joint	61	43	$66.85	$56.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	45	$47.20	$41.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$116.98	$101.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$179.84	$156.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	162	$83.43	$68.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$191.04	$152.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	123	50	$1.88	$1.75
20610 Aspiration and/or injection of fluid from large joint	66	51	$74.54	$57.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	47	$156.62	$136.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$47.38	$40.76
27447 Replacement of knee joint, both sides of knee	31	29	$1855.84	$1292.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$118.89	$100.77
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$1549.19	$1336.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$130.64	$102.01
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$2664.11	$1433.27
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$2130.62	$1029.33

Medical Specialties & State Licenses

CMS Verified: 2021-03-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME66126

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

Dr. Ricardo Pagan , MD

Hospitalist

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤

Provider Name / Credentials Updated December 13, 2017

Recorded as MARK BRODERSEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Orthopaedic Surgery (License #ME66126 in FL)

✅

NPI Profile Active December 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2012

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address December 18, 2012

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated December 18, 2012

Recorded as MARK BRODERSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2012

Orthopaedic Surgery (License #ME66126 in FL)

🟢

Initial NPI Registration & Enumeration October 24, 2005

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: 1326038175

Entity Type:

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

Enumeration Date: October 24, 2005

Last Update: March 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

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.