Ian Matthew Broussard, D.O.
NPI 1871024968ActiveIndividual· Emergency Medicine· Myrtle Beach, SC
Emergency Medicine (D.O.) in Myrtle Beach, South Carolina, trained at William Carey University College of Osteopathic Medicine (class of 2017). 201 Medicare patients in 2024, $28,031 paid; nearly all of their 386 Part D prescriptions were generic (92%).
Overview
| NPI | 1871024968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Mar 21, 2017 |
| Last updated in NPPES | Jun 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | LL41064 | SC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | SC |
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 - Emergency Medicine (LA); Practitioner - Emergency Medicine (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 201 |
|---|---|
| Services billed | 234 across 10 procedure codes |
| Paid by Medicare | $28,031 |
Part D prescriptions in 2024
| Prescriptions (claims) | 386 · 438 30-day fills |
|---|---|
| Patients | 234 |
| Total drug cost | $14,885 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | William Carey University College of Osteopathic Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Crowley Emergency Group LLCCrowley, LA · 27 clinicians
- Ambassador Emergency Group, LLCLafayette, LA · 23 clinicians
Hospital affiliations
- Acadia General HospitalCrowley, LA
- Ochsner Lafayette General Medical CenterLafayette, LA
- Ochsner University Hospital and ClinicsLafayette, LA
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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