DR. BAXTER DIXON THARIN (M.D.) – Diagnostic Radiology Physician, NPI 1013177120
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
90 DIAGNOSTIC RADIOLOGY in AK
Provider Addresses for DR. BAXTER DIXON THARIN (M.D.)
5955 Zeamer Ave
Jber, AK 995063702
Phone: (907) 580-3205
Type: Location
9582 W Colonial Dr
Lee B Cecil
Ocoee, FL 34761
Phone: (407) 896-3055
Fax: (407) 826-1103
Type: Location
Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
FORT STEWART, GA 313145641
Phone: (912) 435-5770
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141024000861 | I | Diagnostic Radiology | CO | TBD |
| I20210415000264 | I | Diagnostic Radiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CA | |
| - | FL | |
| - | FL | |
| Diagnostic Radiology, Nuclear Medicine | TX | |
| - | FL | |
| Diagnostic Radiology | CA | |
| - | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | FL |
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