Doctor profile · Federal record

Dr. JEREMY BROADHURST, DO

Family Medicine Physician (CMS: FAMILY PRACTICE) · PROVIDENCE, UT

  • NPI 1114115664
  • Accepts Medicare
  • 20 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
190 S HIGHWAY 165
PROVIDENCE, UT 843329512
(435) 755-3300
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 841270128

Credentials & registration

NPPES · NUCC
NPI registered
October 2007 — 19 yrs on file
Profile last updated
March 5, 2012
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Utah #6681706-1204

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114115664. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
800
Distinct HCPCS
10
Medicare allowed
$49,941
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 167 94 $122
36415 Insertion of needle into vein for collection of blood sample 165 126 $8
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 111 111 $123
99213 Established patient office or other outpatient visit, 20-29 minutes 91 79 $86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 74 14 $1
83036 Hemoglobin a1c level 58 37 $10
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 34 34 $75
G0008 Administration of influenza virus vaccine 33 33 $29
81003 Automated urinalysis test 24 16 $2
G0009 Administration of pneumococcal vaccine 17 17 $29

In context: peer comparison

Among 3 peers in this city , average services per provider: 67. This provider delivers 12× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,899
Patients
832
Total drug cost
$49,458
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 454 130 $6,035
Omeprazole Generic 306 92 $6,000
Levothyroxine Sodium Generic 253 69 $5,164
Amlodipine Besylate Generic 235 69 $1,709
Losartan Potassium Generic 219 69 $4,100
Metformin Hcl Generic 178 59 $2,788
Simvastatin Generic 171 46 $2,141
Losartan-Hydrochlorothiazide (Losartan/Hydrochlorothiazide) Brand 169 48 $5,519
Tamsulosin Hcl Generic 156 47 $3,776
Citalopram Hbr (Citalopram Hydrobromide) Brand 136 36 $1,599