Doctor profile · Federal record
Dr. Kelly Broderick, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Ultrasound Physician · San Mateo, CA
- NPI 1609821891
- Accepts Medicare
- 34 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
100 S San Mateo Dr
San Mateo, CA 944013805
(650) 696-4515
fax (650) 696-4626 - Additional location
-
1501 Trousdale Dr
Burlingame, CA 940104506
(650) 696-5515
fax (650) 696-5280 - Additional location
-
222 W 39Th Ave
San Mateo, CA 944034364
(650) 573-2222
fax (650) 573-2122 - Mailing address
-
Po Box 6102
Novato, CA 949486102
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- September 23, 2020
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- California #G78759
- Medicaid
- CA #00G787590
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609821891. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,640
Distinct HCPCS
10
Medicare allowed
$128,503
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77067 |
Screening mammography | 664 | 664 | $41 | |
77063 |
Screening 3d breast mammography | 654 | 654 | $32 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 357 | 357 | $11 | |
71045 |
X-ray of chest, 1 view | 233 | 224 | $10 | |
76705 |
Limited ultrasound scan of abdomen | 181 | 177 | $31 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 134 | 133 | $32 | |
76770 |
Complete ultrasound scan behind abdominal cavity | 133 | 130 | $39 | |
76641 |
Complete ultrasound scan of 1 breast | 124 | 124 | $56 | |
77065 |
Diagnostic mammography of 1 breast | 91 | 86 | $43 | |
70450 |
Ct scan head or brain without contrast | 86 | 84 | $45 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 71. This provider delivers 51× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kelly Broderick's medical specialty?
Dr. Kelly Broderick practices Diagnostic Radiology Physician in San Mateo, CA.
Where does Dr. Kelly Broderick practice?
Dr. Kelly Broderick practices at 100 S San Mateo Dr, San Mateo, CA 944013805. Office phone: 6506964515.
What is Dr. Kelly Broderick's NPI?
Dr. Kelly Broderick's National Provider Identifier (NPI) is 1609821891, issued by NPPES.
Does Dr. Kelly Broderick accept Medicare assignment?
Yes. Dr. Kelly Broderick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Broderick commonly perform?
Top Medicare-reported procedures in 2023: Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063); Dxa bone density measurement of hip, pelvis, spine (HCPCS 77080). Source: CMS Medicare Physician & Other Practitioners file.