Active NPI 1629272109 Individual Practitioner Male Practitioner

Dr. Gregory John Broughton , MD

Urology • Fairfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Broughton, MD is a certified Urology practicing in Fairfield, OH. With approximately 19 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 2007, Dr. Broughton delivers high-quality medical care to the local community at 925 DEIS DR.

Dr. Broughton is affiliated with Tri State Urologic Services Psc Inc 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, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

925 Deis Dr

Fairfield, OH 450148130

Telephone 5138417900

Associated Practice Facility / Clinic

🏢 Tri State Urologic Services Psc Inc Facility NPI 1073746459

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fairfield, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Fairfield, OH (564 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broughton (19 Years) 19 Yrs

Fairfield Specialty Average (22.0 Years) 22.0 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	333	193	$278.00	$120.99
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	318	194	$35.00	$15.76
81002 Urinalysis, manual test	216	138	$26.00	$3.36
51798 Ultrasound measurement of bladder capacity after voiding	136	91	$97.00	$10.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$438.00	$156.55
52000 Diagnostic exam of bladder and urethra using an endoscope	60	60	$797.68	$70.24
84153 Psa (prostate specific antigen) measurement, total	56	47	$71.00	$18.02
76872 Ultrasound scan of pelvic region through rectum	54	54	$312.00	$30.93
36415 Insertion of needle into vein for collection of blood sample	36	33	$32.00	$8.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	28	12	$212.00	$59.73
55700 Biopsy of prostate gland	24	24	$654.00	$124.41
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	23	23	$723.00	$170.25
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	22	11	$159.00	$45.54
51741 Electronic assessment of bladder emptying	22	22	$254.00	$6.77
86316 Analysis for detection of tumor marker	18	17	$51.00	$20.39
84154 Psa (prostate specific antigen) measurement, free	18	17	$85.00	$18.02
80048 Blood test, basic group of blood chemicals (calcium, total)	17	17	$28.00	$7.82
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$237.00	$86.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$1417.20	$127.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$115.00	$47.21
87086 Bacterial colony count, urine	14	13	$70.00	$7.91
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2395.00	$697.26

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	257	219	$175.21	$119.55
51798 Ultrasound measurement of bladder capacity after voiding	90	78	$106.22	$9.58
81002 Urinalysis, manual test	50	44	$26.00	$3.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$325.00	$159.90
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$95.00	$84.82
87086 Bacterial colony count, urine	20	18	$70.00	$7.91
76872 Ultrasound scan of pelvic region through rectum	19	19	$336.68	$31.41
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$650.00	$69.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$256.94	$126.91
36415 Insertion of needle into vein for collection of blood sample	14	14	$32.00	$8.40
55700 Biopsy of prostate gland	14	14	$453.50	$124.84
52000 Diagnostic exam of bladder and urethra using an endoscope	13	12	$269.00	$220.49
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	12	11	$60.00	$30.82
84153 Psa (prostate specific antigen) measurement, total	11	11	$71.00	$18.02

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	460	278	$150.00	$121.38
51798 Ultrasound measurement of bladder capacity after voiding	164	117	$114.00	$9.43
99213 Established patient office or other outpatient visit, typically 15 minutes	146	123	$95.00	$86.07
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	97	12	$0.01	$0.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$185.00	$158.91
52000 Diagnostic exam of bladder and urethra using an endoscope	36	32	$269.00	$230.98
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	17	$60.00	$30.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$185.00	$173.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	16	$65.00	$37.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$145.00	$131.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$25.00	$13.65

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	465	296	$150.00	$121.48
99213 Established patient office or other outpatient visit, typically 15 minutes	260	209	$95.00	$86.42
51798 Ultrasound measurement of bladder capacity after voiding	245	171	$114.00	$9.18
52000 Diagnostic exam of bladder and urethra using an endoscope	67	59	$269.00	$214.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$185.00	$159.18
J0696 Injection, ceftriaxone sodium, per 250 mg	56	14	$45.00	$0.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$120.00	$107.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$185.00	$173.86
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	13	$60.00	$30.20
74420 Imaging of urinary tract	26	18	$257.00	$24.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	12	$90.00	$69.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$65.00	$37.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	18	$25.00	$12.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$1700.00	$418.91
74018 X-ray of abdomen, 1 view	15	14	$60.00	$27.68
55700 Biopsy of prostate gland	13	13	$272.00	$223.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$234.00	$50.81
76872 Ultrasound scan of pelvic region through rectum	13	13	$379.00	$119.22
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$120.00	$97.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$145.00	$131.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	10,700	11	-	-
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	501	307	$150.00	$102.65
51798 Ultrasound measurement of bladder capacity after voiding	327	211	$114.00	$9.24
99213 Established patient office or other outpatient visit, typically 15 minutes	260	207	$95.00	$67.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$185.00	$157.68
J0696 Injection, ceftriaxone sodium, per 250 mg	68	16	$45.00	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	29	$25.00	$13.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	29	$90.00	$71.01
52000 Diagnostic exam of bladder and urethra using an endoscope	51	43	$269.00	$198.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$145.00	$134.68
51702 Simple insertion of temporary bladder tube	21	14	$95.00	$57.68
74018 X-ray of abdomen, 1 view	21	20	$60.00	$27.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$730.59	$116.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$65.00	$38.23
76872 Ultrasound scan of pelvic region through rectum	15	15	$379.00	$133.94
51701 Insertion of temporary bladder tube	15	13	$89.00	$42.84
55700 Biopsy of prostate gland	15	15	$272.00	$237.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$185.00	$140.16
55700 Biopsy of prostate gland	14	12	$272.00	$129.75
76872 Ultrasound scan of pelvic region through rectum	14	12	$379.00	$28.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$234.00	$54.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$120.00	$99.69

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	501	302	$150.00	$100.97
99213 Established patient office or other outpatient visit, typically 15 minutes	391	301	$95.00	$68.71
51798 Ultrasound measurement of bladder capacity after voiding	378	245	$114.00	$11.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	43	$65.00	$37.33
J0696 Injection, ceftriaxone sodium, per 250 mg	80	20	$45.00	$0.55
52000 Diagnostic exam of bladder and urethra using an endoscope	76	63	$269.00	$166.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$185.00	$151.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	24	$90.00	$69.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	25	$25.00	$15.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$145.00	$129.60
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$120.00	$95.57
74018 X-ray of abdomen, 1 view	24	20	$60.00	$25.81
55700 Biopsy of prostate gland	23	22	$272.00	$231.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	22	$234.00	$53.09
76872 Ultrasound scan of pelvic region through rectum	23	22	$379.00	$117.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$120.00	$100.31
51702 Simple insertion of temporary bladder tube	20	12	$95.00	$57.05
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	14	$690.00	$132.41
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	11	$60.00	$28.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$185.00	$136.09
51701 Insertion of temporary bladder tube	11	11	$89.00	$41.55

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	663	404	$144.27	$99.69
51798 Ultrasound measurement of bladder capacity after voiding	537	352	$114.00	$14.04
99213 Established patient office or other outpatient visit, typically 15 minutes	356	262	$89.60	$67.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$192.63	$153.16
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	12	$1363.33	$208.12
52000 Diagnostic exam of bladder and urethra using an endoscope	85	70	$269.00	$147.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	41	$76.52	$37.12
J3315 Injection, triptorelin pamoate, 3.75 mg	78	12	$703.85	$258.09
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$45.00	$0.61
51701 Insertion of temporary bladder tube	56	48	$89.00	$42.89
81000 Manual urinalysis test with examination using microscope, non-automated	54	42	$32.81	$3.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	13	$91.57	$68.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$166.41	$123.14
74018 X-ray of abdomen, 1 view	31	28	$60.00	$24.73
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	27	16	$60.00	$28.00
51702 Simple insertion of temporary bladder tube	23	11	$95.00	$58.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	19	$27.13	$18.82
55700 Biopsy of prostate gland	17	17	$272.00	$206.20
76872 Ultrasound scan of pelvic region through rectum	16	16	$379.00	$74.89
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$127.88	$95.28
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	15	15	$3840.00	$603.50
38571 Removal of lymph nodes of both sides of pelvis using an endoscope	14	14	$1512.50	$129.28
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	13	$1714.29	$428.15
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$234.00	$53.77

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	893	450	$135.00	$98.25
51798 Ultrasound measurement of bladder capacity after voiding	693	369	$114.00	$16.75
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	193	21	$1383.42	$209.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$202.50	$149.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	58	$148.50	$97.18
52000 Diagnostic exam of bladder and urethra using an endoscope	85	75	$269.00	$147.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	70	$223.50	$127.13
J0696 Injection, ceftriaxone sodium, per 250 mg	68	16	$45.00	$0.63
99213 Established patient office or other outpatient visit, typically 15 minutes	65	63	$78.00	$66.55
51701 Insertion of temporary bladder tube	55	47	$89.00	$42.24
74000 X-ray of abdomen, single view	31	23	$90.00	$21.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	18	$60.00	$28.89
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	17	$1578.95	$392.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	19	$32.00	$22.80
55700 Biopsy of prostate gland	17	17	$272.00	$224.58
76872 Ultrasound scan of pelvic region through rectum	16	16	$379.00	$85.83
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$234.00	$54.91
55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope	11	11	$3992.73	$632.59

Medical Specialties & State Licenses

CMS Verified: 2023-09-06

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35.148533

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Tri State Urologic Services Psc Inc

925 Deis Dr, Fairfield, OH 450148130

Phone: 5138417900

Tri State Urologic Services Psc Inc

2000 Joseph E Sanker Blvd, Cincinnati, OH 452121979

Phone: 5138417400

Tri State Urologic Services Psc Inc

200 Medical Ctr Dr, Middletown, OH 450055183

Phone: 5138417777

Tri State Urologic Services Psc Inc

4360 Ferguson Dr, Cincinnati, OH 452451683

Phone: 5138417750

Tri State Urologic Services Psc Inc

8020 Liberty Way, West Chester, OH 450692519

Phone: 5138417910

Practice Associates & Co-Workers

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

5 Associated Practitioners

George Guju , AGACNP

Nurse Practitioner - Acute Care

NPI 1164038725

Adult-Gerontology Acute Care Nurse Practitioner

Matthew Anderson , PA

Physician Assistant - Medical

NPI 1174238042

Physician Assistant

John Frankel , PA

Physician Assistant

NPI 1528847662

Physician Assistant

Dr. James Davison , MD

Urology

NPI 1568408359

Doctor of Medicine (M.D.)

Dr. Anne Scott , MD

Urology

NPI 1841433133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 07, 2023

Registered at 925 DEIS DR, FAIRFIELD, OH 450148130 (Tel: 5138417900)

📍

Updated Business Mailing Address September 07, 2023

Registered at 2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 452121979

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2023

Urology (License #35.148533 in OH)

✅

NPI Profile Active April 23, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2013

Registered at 1780 MCFARLAND BLVD N, TUSCALOOSA, AL 354062136 (Tel: 2053457351)

📍

Updated Business Mailing Address April 23, 2013

Registered at 1780 MCFARLAND BLVD N, TUSCALOOSA, AL 354062136 (Tel: 2053457351)

👤

Provider Name / Credentials Updated April 23, 2013

Recorded as GREGORY BROUGHTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2013

Urology (License #MD.31577 in AL)

🟢

Initial NPI Registration & Enumeration June 11, 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: 1629272109

Entity Type:

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

Enumeration Date: June 11, 2007

Last Update: September 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Joseph E Sanker Blvd

Cincinnati, OH 452121979

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.