GARY M. KELLMAN (MD) – Diagnostic Radiology Physician, NPI 1104844760
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for GARY M. KELLMAN (MD)
1500 San Pablo St
Los Angeles, CA 900335313
Phone: (323) 442-8541
Type: Location
Merrifield Post Office, County Road 3, Center Township, Crow Wing County, Minnesota, 56465, United States
MERRIFIELD, VA 221163650
Phone: (703) 698-4483
Fax: (703) 573-0880
Type: Mailing
2722, Merrilee Drive, Merrifield, Fairfax (city), Virginia, 22031, United States
#230
FAIRFAX, VA 220314400
Phone: (703) 698-4483
Fax: (703) 573-0880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-05-31
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 |
|---|---|---|---|---|
| I20230228001129 | I | Diagnostic Radiology | MT | TBD |
| I20230322002463 | I | Diagnostic Radiology | CA | TBD |
| I20230531001374 | I | Diagnostic Radiology | HI | 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 | 1,166 | 559 | $0 |
| 71046 | X-ray of chest, 2 views | 92 | 82 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 60 | 59 | $0 |
| 74018 | X-ray of abdomen, 1 view | 40 | 29 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 31 | 27 | $0 |
Insurance plans in this area (ZIP 90033)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | VA | 71010 | X-ray of chest, 1 view, front | 82 | 78 |
| DIAGNOSTIC RADIOLOGY | VA | 76830 | Ultrasound pelvis through vagina | 42 | 42 |
| DIAGNOSTIC RADIOLOGY | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 242 | 236 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.