DOUGLAS KERIN (MD) – Diagnostic Radiology Physician, NPI 1255391389
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
379 DIAGNOSTIC RADIOLOGY in AR
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Provider Addresses for DOUGLAS KERIN (MD)
Russellville Post Office, 203, South Boston Avenue, Russellville, Pope County, Arkansas, 72801, United States
RUSSELLVILLE, AR 728119178
Phone: (479) 968-7930
Fax: (479) 968-4331
Type: Mailing
Medical Office Systems, 3301, West Main Place, Russellville, Pope County, Arkansas, 72801, United States
RUSSELLVILLE, AR 728012334
Phone: (479) 968-7930
Fax: (479) 968-1673
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $210.
Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.
Last reported payment date: 2024-12-01 • Largest payer in this snapshot: Canon Medical Systems USA, Inc. ($210).
Total Amount
$210
General + Research + Ownership
Payments
1
Total payment records
General Amount
$210
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Canon Medical Systems USA, Inc. | $210 |
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: 2025-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20031111000771 | I | Diagnostic Radiology | AR | TBD |
| I20240404003730 | I | Diagnostic Radiology | MS | TBD |
| I20250804003699 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 485 | 420 | $0 |
| 70450 | Ct scan head or brain without contrast | 258 | 241 | $0 |
| 71046 | X-ray of chest, 2 views | 119 | 113 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 105 | 103 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 88 | 86 | $0 |
Insurance plans in this area (ZIP 72811)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AR | 71250 | CT scan chest | 82 | 80 |
| DIAGNOSTIC RADIOLOGY | AR | 73562 | X-ray of knee, 3 views | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | AR | 74177 | CT scan of abdomen and pelvis with contrast | 316 | 300 |
| DIAGNOSTIC RADIOLOGY | AR | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | AR | |
| - | AR | |
| - | WV | |
| Diagnostic Radiology | MS |
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