DR. MARK BAO LE (M.D.) – Diagnostic Radiology Physician, NPI 1487090213
Diagnostic Radiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. MARK BAO LE (M.D.)
110 W LAS TUNAS DR STE C
SAN GABRIEL, CA 917761346
Phone: (626) 653-8712
Type: Location
7171 N DALE MABRY HWY
TAMPA, FL 336142665
Phone: (317) 614-9804
Type: Location
1500 Duarte Rd
Duarte, CA 910103012
Phone: (800) 826-4673
Type: Location
110 W Las Tunas Dr Ste C
San Gabriel, CA 917761346
Phone: (626) 653-8712
Type: Location
30 Lawrence Rd Ste 300
Broomall, PA 190083301
Phone: (484) 446-3611
Fax: (484) 446-3612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $823.
Total Amount is formed as General ($823) + Research ($0) + Ownership ($0) = $823.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AngioDynamics, Inc. ($717).
Total Amount
$823
General + Research + Ownership
Payments
70
Total payment records
General Amount
$823
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190711001775 | I | Diagnostic Radiology | CA | TBD |
| I20230112002704 | I | Diagnostic Radiology | FL | TBD |
| I20240402001846 | I | Diagnostic Radiology | MI | TBD |
| I20250827005142 | I | Diagnostic Radiology | PA | 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 |
|---|---|---|---|---|
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 3,023 | 634 | $0 |
| 75774 | Review by radiologist of additional artery image | 1,340 | 378 | $0 |
| 71045 | X-ray of chest, 1 view | 1,311 | 1,231 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 1,157 | 639 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 1,142 | 628 | $0 |
Insurance plans in this area (ZIP 91776)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | CA | |
| Physician Assistant | CA | |
| Diagnostic Radiology | GA | |
| Gastroenterology, Internal Medicine | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Nurse Practitioner | CA |
Reviews
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