TYSON A. HADDUCK (M.D.) – Vascular & Interventional Radiology Physician, NPI 1336409382
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
845 INTERVENTIONAL RADIOLOGY in CA
Provider Addresses for TYSON A. HADDUCK (M.D.)
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900955631
Phone: (310) 267-8796
Type: Mailing
10833 LE CONTE AVE
LOS ANGELES, CA 900953075
Phone: (310) 301-6800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $3,230.
Total Amount is formed as General ($3,230) + Research ($0) + Ownership ($0) = $3,230.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Penumbra, Inc. ($2,793).
Total Amount
$3,230
General + Research + Ownership
Payments
22
Total payment records
General Amount
$3,230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $2,793 |
| Inari Medical, Inc. | $218 |
| Boston Scientific Corporation | $171 |
| ARGON MEDICAL DEVICES, INC. | $24 |
| Medtronic, Inc. | $23 |
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: 2018-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180425002124 | I | Interventional Radiology | CO | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 3,420 | 34 | $0 |
| 71045 | X-ray of chest, 1 view | 171 | 168 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 102 | 101 | $0 |
| 71046 | X-ray of chest, 2 views | 95 | 95 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 92 | 92 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | CO | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Physician Assistant | OK | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | FL | |
| Interventional Radiology, Diagnostic Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | OR |
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