Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053677831 Individual Practitioner Male Practitioner

Dr. Derek Lee Broering , MD

Emergency Medicine • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Dr. Derek Broering, MD is a registered healthcare professional specializing in Emergency Medicine in Kettering, OH. Practice services are available at 3535 SOUTHERN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373846800
Fax 9373846938
Associated Practice Facility / Clinic
🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
149 Specialists

Practicing in Kettering, OH (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.8% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
256 251 $659.00 $165.71
99284 Emergency department visit with moderate level of medical decision making
77 74 $453.00 $116.10
99283 Emergency department visit with low level of medical decision making
15 15 $247.00 $68.09
99291 Critical care, first 30-74 minutes
11 11 $837.00 $202.79

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35.122640

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0099105 (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brendan Sheehy

Anesthesiology

NPI 1003348806
Dr. Jessica Caruso , DO

Student in an Organized Health Care Education/Training Program

NPI 1013611268

Doctor of Osteopathic Medicine (D.O.)

Dr. David Lim , MD

Internal Medicine

NPI 1023013372

Doctor of Medicine (M.D.)

Dr. Eric Oliveira , MD

Student in an Organized Health Care Education/Training Program

NPI 1023861358

Doctor of Medicine (M.D.)

Jaime Parra Yepes

Student in an Organized Health Care Education/Training Program

NPI 1023937638
Sarah Beach

Student in an Organized Health Care Education/Training Program

NPI 1033052071

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2016

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373846800)

📍
Updated Business Mailing Address August 18, 2016

Registered at 3535 SOUTHERN BLVD., KETTERNG, OH 454291221 (Tel: 9373958839)

👤
Provider Name / Credentials Updated August 18, 2016

Recorded as DEREK BROERING, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2016

Emergency Medicine (License #35.122640 in OH)

🟢
Initial NPI Registration & Enumeration April 06, 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: 1053677831
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2012
Last Update: August 18, 2016
Sole Proprietor: Yes

Mailing Address

3535 Southern Blvd.

Ketterng, OH 454291221

Phone: 9373958839

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.