JIE MAO (M.D.) – Diagnostic Radiology Physician, NPI 1942293485
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
229 INTERVENTIONAL RADIOLOGY in CO
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Provider Addresses for JIE MAO (M.D.)
36, Garden Center, Broomfield, City and County of Broomfield, Colorado, 80020, United States
BROOMFIELD, CO 800201776
Phone: (303) 465-0401
Fax: (303) 438-1351
Type: Mailing
1100, Balsam Avenue, Washington Village, Boulder, Boulder County, Colorado, 80304, United States
RADIOLOGY
BOULDER, CO 803043404
Phone: (303) 440-2273
Type: Location
4747 Arapahoe Ave
Boulder, CO 803031131
Phone: (303) 465-0401
Fax: (303) 438-1351
Type: Location
42 GARDEN CTR
BROOMFIELD, CO 800201730
Phone: (303) 465-0401
Fax: (303) 438-1351
Type: Mailing
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 $509.
Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Medtronic, Inc. ($440).
Total Amount
$509
General + Research + Ownership
Payments
11
Total payment records
General Amount
$509
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $440 |
| Inari Medical, Inc. | $34 |
| Balt USA, LLC | $21 |
| Terumo Medical Corporation | $14 |
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: 2004-03-05
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 |
|---|---|---|---|---|
| I20040305000306 | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 116 | 116 | $0 |
| 77063 | Screening 3d breast mammography | 116 | 116 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 97 | 92 | $0 |
| 70450 | Ct scan head or brain without contrast | 96 | 93 | $0 |
| 71250 | Ct scan of chest without contrast | 81 | 80 | $0 |
Insurance plans in this area (ZIP 80020)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | CO | 74177 | CT scan of abdomen and pelvis with contrast | 30 | 29 |
| INTERVENTIONAL RADIOLOGY | CO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 29 | 29 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| - | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology | CO | |
| Interventional Radiology, Nuclear Medicine, Diagnostic Radiology | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | CO | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | CO | |
| Interventional Radiology, Diagnostic Radiology, Nuclear Medicine | CO |
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