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Active NPI 1770587636 Individual Practitioner Male Practitioner

Dr. Toby D Broussard , MD

Surgery • Edmond, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Toby Broussard, MD is a certified Surgery practicing in Edmond, OK. With approximately 37 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1989, Dr. Broussard delivers high-quality medical care to the local community at 1800 RENAISSANCE BLVD.

Dr. Broussard is affiliated with Transforming Lives Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Renaissance Blvd
2nd Floor

Edmond, OK 730133023

Telephone 4053592473
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edmond, OK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +6.5 yrs vs City Avg
City Avg: 30.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Edmond, OK (386 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broussard (37 Years) 37 Yrs
Edmond Specialty Average (30.5 Years) 30.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes
25 18 $110.00 $79.90

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 24881

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License LA 20450

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1989592 (LA)

Hospital & Practice Group Affiliations

Transforming Lives Pllc

1800 Renaissance Blvd, Edmond, OK 730133023

Phone: 4053592473

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1750316949

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2011

Registered at 1800 RENAISSANCE BLVD, 2ND FLOOR, EDMOND, OK 730133023 (Tel: 4053592473)

📍
Updated Business Mailing Address June 07, 2011

Registered at 1800 RENAISSANCE BLVD, EDMOND, OK 730133023 (Tel: 4053592473)

👤
Provider Name / Credentials Updated June 07, 2011

Recorded as TOBY BROUSSARD, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2011

Surgery (License #24881 in OK)

🟢
Initial NPI Registration & Enumeration June 09, 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: 1770587636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: June 07, 2011
Sole Proprietor: Yes

Mailing Address

1800 Renaissance Blvd

Edmond, OK 730133023

Phone: 4053592473

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.