Jacqueline Brom, M.D.
NPI 1366869497ActiveIndividual· Family Medicine· Beachwood, OH
Family Medicine (M.D.) in Beachwood, Ohio, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $154,933 for 1,551 claims, against $14,925 paid for services in 2024.
Overview
| NPI | 1366869497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 26, 2014 |
| Last updated in NPPES | Jul 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35135732 | OH |
| Family Medicine | 207Q00000X | 336.104842 | IL |
| Family Medicine | 207Q00000X | 036143463 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 238 across 35 procedure codes |
| Paid by Medicare | $14,925 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,551 · 3,956 30-day fills |
|---|---|
| Patients | 139 |
| Total drug cost | $154,933 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- American Fork HospitalAmerican Fork, UT
- Intermountain Health Utah Valley HospitalProvo, UT
- Orem Community HospitalOrem, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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