DR. MICHAEL JOSEPH EVERTON (M.D.) – Diagnostic Radiology Physician, NPI 1063676807

DR. MICHAEL JOSEPH EVERTON (M.D.) is a healthcare provider. based in San diego, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 125054416 (IL). The NPI Number for DR. MICHAEL JOSEPH EVERTON (M.D.) is 1063676807

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL JOSEPH EVERTON (M.D.)
NPI
1063676807
Phone
(312) 282-2638
Address
4094 4TH AVE
Enumeration Date
10 July 2008
Last Update Date
4 March 2024

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2148203216
Graduation Year
2008 (18 years ago)
PAC ID
9739329038
Group Practice PAC ID
6709868409
Professional Enrollment ID
I20181217003032
Address ID
TX752461629DA3900XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:17State licenses:3Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. MICHAEL JOSEPH EVERTON (M.D.)

  • 4th Avenue, Otay, Chula Vista, San Diego County, California, 92154, United States

    SUITE 200, MC 0834

    SAN DIEGO, CA 921032143

    Phone: (312) 282-2638

    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: 2018-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181217003032IDiagnostic RadiologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71260Ct scan of chest with contrast385374$0
74177Ct scan of abdomen and pelvis with contrast380369$0
71045X-ray of chest, 1 view247235$0
71250Ct scan of chest without contrast129127$0
71046X-ray of chest, 2 views9695$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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Provider's Procedures

DR. MICHAEL JOSEPH EVERTON (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views5344
DIAGNOSTIC RADIOLOGYCA73630X-ray of foot, minimum of 3 views7764
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast8281
DIAGNOSTIC RADIOLOGYCA76830Ultrasound pelvis through vagina3333

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709868409View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyIN
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

What is DR. MICHAEL JOSEPH EVERTON (M.D.)'s NPI number?
DR. MICHAEL JOSEPH EVERTON (M.D.)'s NPI is 1063676807 — the number used across U.S. healthcare to identify this provider.
Is DR. MICHAEL JOSEPH EVERTON (M.D.) shown as active in public data?
Registry records indicate DR. MICHAEL JOSEPH EVERTON (M.D.) maintains an active NPI.
How would a patient describe DR. MICHAEL JOSEPH EVERTON (M.D.)'s focus?
For DR. MICHAEL JOSEPH EVERTON (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. MICHAEL JOSEPH EVERTON (M.D.) registered?
Use San Diego, California as the headline location for DR. MICHAEL JOSEPH EVERTON (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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