MILLICENT GENTRY (MD) – Diagnostic Radiology Physician, NPI 1154558039
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
Provider Addresses for MILLICENT GENTRY (MD)
1313 E OSBORN RD STE 213
PHOENIX, AZ 850145695
Phone: (602) 234-2601
Fax: (602) 234-3183
Mailing address matches the actual address.
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: 2025-03-03
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 |
|---|---|---|---|---|
| I20150817002779 | I | Diagnostic Radiology | AZ | TBD |
| I20250303000390 | I | Diagnostic Radiology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 1,256 | 1,255 | $0 |
| 77063 | Screening 3d breast mammography | 1,254 | 1,253 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 228 | 228 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 223 | 216 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 198 | 195 | $0 |
Insurance plans in this area (ZIP 85014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Nurse Practitioner | TX | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| Diagnostic Radiology | MN |
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