Individual provider Active NPI

Gregory John Broughton, MD

  • Urology Physician
  • Fairfield, OH
National Provider Identifier
1629272109
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.148533 Issued in OH
Practice address
925 Deis Dr
Fairfield, OH 45014-8130
Phone
(513) 841-7900
NPI assigned
Jun 11, 2007
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.148533 OH Primary

Addresses

Primary practice location

925 Deis Dr
Fairfield, OH 45014-8130

Mailing address

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706003808 OH Practitioner - Urology 5698931756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Medical Ctr Dr
Suite 500
Middletown, OH 45005-5183
Phone (513) 841-7777

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

4360 Ferguson Dr
Suite 100
Cincinnati, OH 45245-1683
Phone (513) 841-7750

8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 841-7910

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.148533OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2023 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2023 Accepting new patients

Locations

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

925 Deis Dr
Fairfield, OH 45014
Phone (513) 841-7900

200 Medical Center Dr
Ste 500
Middletown, OH 45005
Phone (513) 423-2244

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: gregbroughton@tsus.allscriptsdirect.net
  • Direct secure messaging: gregorybroughton@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1629272109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E SANKER BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DEIS DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148130",
            "telephone_number": "513-841-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.148533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.