Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Elyse Renee Broucek

Physician Assistant โ€ข Phoenix, AZ

Active NPI 1770180960 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

4045 E Bell Rd Ste 125
Phoenix, AZ 850322238

Call 6029710268 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Telephone 6029710268
Organization at the Same NPPES Address or Phone
Innovative Dermatology Alliance Az, Pc Facility NPI 1215559471

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Sun City West, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Alliance Dermatology And Mohs Center Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare-allowed amount

About $51,216 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $40,746 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

325 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,478 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,318.72 across 63 records.

By nature of payment

  • Food and Beverage: $1,318.72 across 63 records.

Reporting-company totals (3 largest of 15)

  • Regeneron Pharmaceuticals, Inc.: $273.88 across 6 records.
  • Organon LLC: $217.59 across 14 records.
  • UCB, Inc.: $188.52 across 13 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Elyse Broucek has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Elyse Broucek as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Phoenix and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Phoenix, AZ (2024, 457 clinicians with data). Median for this group: 219. Middle half: 74 to 695.

Close to the middle for clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: 260. Middle half: 86 to 858.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Phoenix, AZ (2024, 457 clinicians with data). Median for this group: $3,869. Middle half: $706 to $71,034.

Close to the middle for clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: $4,301. Middle half: $765 to $83,048.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Elyse Broucek are from 2023.

926 active clinicians are listed under Physician Assistant with a practice address in Phoenix, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

14.4% of these 926 clinicians have the CMS telehealth indicator.

56.2% of these 926 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 63 records totaling $1,318.72.

Manufacturer Payment Nature Product Type Amount ($)
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $134.88
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $71.74
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
LIBTAYO General $37.33
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $32.81
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $32.41
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $32.15
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $31.85
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $31.70
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $31.28
Genentech, Inc.
Food and Beverage
In-kind items and services
Xolair General $31.25
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $29.99
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $29.15
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $29.00
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $28.35
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $27.89
Botanix SB Inc
Food and Beverage
In-kind items and services
SOFDRA General $27.47
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $27.00
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $26.75
Organon LLC
Food and Beverage
In-kind items and services
VTAMA General $24.77
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $22.79
Amgen Inc.
Food and Beverage
In-kind items and services
OTEZLA General $22.69
LEO Pharma Inc.
Food and Beverage
In-kind items and services
ADBRY General $22.12
LNHC, Inc
Food and Beverage
In-kind items and services
ZELSUVMI General $21.46
Incyte Corporation
Food and Beverage
Cash or cash equivalent
OPZELURA General $21.18
Botanix SB Inc
Food and Beverage
In-kind items and services
SOFDRA General $20.11

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm
355 284 $2143.77 $105.28
15002 Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
193 181 $538.73 $28.68
14302 Repair of wound by transferring skin, each additional 30.0 sq cm
144 69 $558.63 $28.25
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
125 123 $658.72 $33.91

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Triamcinolone Acetonide Triamcinolone Acetonide 77 2,257 $877.38 57
Clobetasol Propionate Clobetasol Propionate 44 1,201 $1,330.27 26
Ketoconazole Ketoconazole 40 1,317 $683.45 31
Mupirocin Mupirocin 30 496 $222.24 26
Doxycycline Hyclate Doxycycline Hyclate 26 359 $330.98 25
Hydrocortisone Hydrocortisone 21 525 $105.00 18
Methylprednisolone Methylprednisolone 19 185 $113.22 15
Hydroxyzine Hcl Hydroxyzine Hcl 14 169 $48.42 โ€”
Valacyclovir Valacyclovir Hcl 14 148 $401.62 14
Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip 12 342 $279.41 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 12 337 $86.07 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210126001751

Enrollment State Jurisdiction

AZ

PECOS Control ID

1658785035

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Alliance Dermatology And Mohs Center Pc

4045 E Bell Rd, Phoenix, AZ 850322238

Phone: 6029710268205

Secondary Practice Locations

13843 W Meeker Blvd

Sun City West, AZ 853755285

Phone: 6235841325

14506 W Granite Valley Dr Ste 220

Sun City West, AZ 853756013

Phone: 6235841325

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1083621148

Doctor of Medicine (M.D.)

Sara Hartman , PA-C

Physician Assistant

NPI 1629247796

Physician Assistant (Certified)

NPI 1700893864

Doctor of Medicine (M.D.)

Holly Nichols , NP

Nurse Practitioner

NPI 1780650036

Nurse Practitioner

Stephanie Pasley , NP

Nurse Practitioner

NPI 1881149219

Nurse Practitioner

Jessica Rubel , PA-C

Physician Assistant

NPI 1649897810

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location December 31, 2024

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238 (Tel: 6029710268)

๐Ÿ“
Updated Business Mailing Address December 31, 2024

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238

โœ…
NPI Profile Active October 01, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 01, 2020

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905 (Tel: 6232439077)

๐Ÿ“
Business Mailing Address (Initial Record) October 01, 2020

Registered at 10240 W INDIAN SCHOOL RD STE 115, PHOENIX, AZ 850375905

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 01, 2020

Recorded as ELYSE BROUCEK

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration October 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770180960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2020
Last Update: February 04, 2025
Sole Proprietor: No

Other Physician Assistants in Phoenix

All Physician Assistants in Phoenix

Mailing Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Phone: 6029710268

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.