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Active NPI 1114299419 Individual Practitioner Female Practitioner

Lucy Broaddus , MMS, PA-C, ATC

Physician Assistant • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lucy Broaddus, MMS, PA-C, ATC is a certified Physician Assistant practicing in O Fallon, IL. With approximately 14 years of clinical experience since completing medical education in 2012, Lucy Broaddus delivers high-quality medical care to the local community at 310 N 7 HILLS RD STE 220.

Lucy Broaddus is affiliated with Fairview Heights Medical Group Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 N 7 Hills Rd Ste 220

O Fallon, IL 622694111

Telephone 6186246181
Associated Practice Facility / Clinic
🏢 Pc Associates Llc Facility NPI 1235452855

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in O Fallon, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +5.4 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
27 Specialists

Practicing in O Fallon, IL (4958 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broaddus (14 Years) 14 Yrs
O Fallon Specialty Average (8.6 Years) 8.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
93 58 $229.17 $103.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
66 43 $23.00 $13.75
99213 Established patient office or other outpatient visit, typically 15 minutes
48 39 $187.00 $74.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
44 44 $222.00 $106.86
81002 Urinalysis, manual test
19 13 $13.00 $3.41
G0008 Administration of influenza virus vaccine
13 13 $82.00 $31.79
90662 Influenza vaccine split virus, preservative free
11 11 $88.00 $81.82

Medical Specialties & State Licenses

CMS Verified: 2026-01-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085004281

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.

Hospital & Practice Group Affiliations

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Fairview Heights Medical Group Sc

310 N 7 Hills Rd, O Fallon, IL 622694111

Phone: 6186246181

Fairview Heights Medical Group Sc

310 N 7 Hills Rd, O Fallon, IL 622694111

Phone: 6186246181

Practice Associates & Co-Workers

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

12 Associated Practitioners
Gregory Churchill , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1053390237

PHYSICIANASSISTANT

Dr. Craig Lotz , PsyD, LCP

Psychologist - Clinical

NPI 1194879288

Doctor of Psychology (Psy.D.), LCP

Sarah Durnell , FNP

Nurse Practitioner - Family

NPI 1235568700

Family Nurse Practitioner

NPI 1275524290

Doctor of Medicine (M.D.)

NPI 1346242799

Doctor of Medicine (M.D.)

Karen Blackwell , PA

Physician Assistant

NPI 1487983664

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated January 26, 2026

Recorded as LUCY BROADDUS, MMS, PA-C, ATC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Physician Assistant (License #085004281 in IL)

📍
Updated Practice Location February 04, 2021

Registered at 310 N 7 HILLS RD STE 220, O FALLON, IL 622694111 (Tel: 6186246181)

📍
Updated Business Mailing Address February 04, 2021

Registered at 310 N 7 HILLS RD STE 220, O FALLON, IL 622694111 (Tel: 6186246181)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2021

Physician Assistant (License #085004281 in IL)

NPI Profile Active September 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2016

Registered at 310 N 7 HILLS RD, O FALLON, IL 622694111 (Tel: 6186246181)

📍
Updated Business Mailing Address September 02, 2016

Registered at 4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MEDICAL AFFAIRS, BELLEVILLE, IL 62226 (Tel: 6182574644)

👤
Provider Name / Credentials Updated September 02, 2016

Recorded as LUCY ELLIOTT, MMS, PA-C, ATC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2016

Physician Assistant (License #085004281 in IL)

🟢
Initial NPI Registration & Enumeration February 01, 2012

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: 1114299419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2012
Last Update: January 26, 2026
Sole Proprietor: No

Mailing Address

310 N 7 Hills Rd Ste 220

O Fallon, IL 622694111

Phone: 6186246181

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.