Kevin Stanley Broaddrick, DPM
NPI 1639188394ActiveIndividual· Podiatrist· Peoria, AZ
Podiatrist (DPM) in Peoria, Arizona, licensed in AZ, with an NPI issued in August 2006. Mostly services rather than prescriptions: Medicare paid $25,919 for 143 patients in 2024, with only 15 Part D claims.
Overview
| NPI | 1639188394 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | Yes |
| NPI issued | Aug 5, 2006 |
| Last updated in NPPES | Aug 11, 2023 |
| Certified by provider | Aug 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | POD-000814 | AZ |
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 - Podiatry (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 143 |
|---|---|
| Services billed | 646 across 6 procedure codes |
| Paid by Medicare | $25,919 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 40 30-day fills |
|---|---|
| Total drug cost | $34.48 |
| Generic share | 87% of claims |
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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