MARIO J IMOLA (MD) – Facial Plastic Surgery Physician, NPI 1932101490
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 PLASTIC AND RECONSTRUCTIVE SURGERY in CO
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Provider Addresses for MARIO J IMOLA (MD)
Office Bldg, 3600, South Logan Street, Englewood, Arapahoe County, Colorado, 80110, United States
SUITE 100
ENGLEWOOD, CO 801133766
Phone: (303) 839-7980
Fax: (303) 839-7936
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)
CMS reports 11 Open Payments records for all available years, with a total value of $450.
Total Amount is formed as General ($450) + Research ($0) + Ownership ($0) = $450.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($259).
Total Amount
$450
General + Research + Ownership
Payments
11
Total payment records
General Amount
$450
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $259 |
| ABBVIE INC. | $129 |
| Galderma Laboratories, L.P. | $40 |
| PolyNovo North America LLC | $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: 2010-05-14
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 |
|---|---|---|---|---|
| I20100514000055 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Plastic And Reconstructive Surgery | CO | |
| O P H T H A L M O L O G Y | WA |
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