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Active NPI 1114084191 Individual Practitioner Female Practitioner

Dr. Genevieve B Broderick , MD

Surgery - Plastic and Reconstructive Surgery • Quincy, MA

Professional Overview & Biography Verified Profile Summary

Dr. Genevieve Broderick, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Quincy, MA. Practice services are available at 500 CONGRESS ST under active NPI credentials.

Frequently performed procedures and clinical services include complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm, established patient outpatient office visit, complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Congress St
Suite B1

Quincy, MA 021690908

Telephone 6174726764
Fax 6177709933
Associated Practice Facility / Clinic
🏢 Granite Medical Group Inc Facility NPI 1659372902

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Quincy, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Quincy, MA (76 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.1% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
34 32 $510.00 $425.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
32 32 $100.00 $47.33
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm
21 21 $560.00 $453.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
19 18 $800.00 $512.24
12011 Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes
17 17 $275.00 $122.10
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
15 15 $700.00 $467.70

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MA 233883

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Kristina Anderson , FNP-C

Nurse Practitioner - Family

NPI 1003299090

Family Nurse Practitioner (Certified)

NPI 1225457880

Doctor of Medicine (M.D.), MSCR

NPI 1295775732

Doctor of Medicine (M.D.)

Jie Chen , PA

Physician Assistant

NPI 1336410398

Physician Assistant

David Peckham , PA-C

Physician Assistant

NPI 1548411796

Physician Assistant (Certified)

Rebeca Jinga , PA-C

Physician Assistant

NPI 1760908677

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2015

Registered at 500 CONGRESS ST, SUITE B1, QUINCY, MA 021690908 (Tel: 6174726764)

📍
Updated Business Mailing Address June 24, 2015

Registered at 500 CONGRESS ST, SUITE B1, QUINCY, MA 021690908 (Tel: 6174726764)

👤
Provider Name / Credentials Updated June 24, 2015

Recorded as GENEVIEVE BRODERICK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Surgery (License #233883 in MA)

🟢
Initial NPI Registration & Enumeration January 02, 2007

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: 1114084191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: June 24, 2015
Sole Proprietor: Yes

Mailing Address

500 Congress St, Suite B1

Quincy, MA 021690908

Phone: 6174726764

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.