KERRI LYNN BADEN (M.D.) – Diagnostic Radiology Physician, NPI 1073508735

KERRI LYNN BADEN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME125908 (FL). The NPI Number for KERRI LYNN BADEN (M.D.) is 1073508735

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KERRI LYNN BADEN (M.D.)
NPI
1073508735
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
19 September 2005
Last Update Date
21 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704126300
Graduation Year
1997 (29 years ago)
PAC ID
6103171889
Group Practice PAC ID
2668727744
Professional Enrollment ID
I20200928002009
Address ID
GA301351539DO9459X5XXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for KERRI LYNN BADEN (M.D.)

  • Mayo Clinic Emergency Room, 4500, San Pablo Road South, Isle of Palms South, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Type: Mailing

  • 503, Eisenhower Drive, Highland Park, Savannah, Chatham County, Georgia, 31406, United States

    SAVANNAH, GA 314062668

    Phone: (912) 355-6255

    Type: Location

  • 4500 San Pablo Rd S

    Jacksonville, FL 32224

    Phone: (904) 953-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2020-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180620002966IDiagnostic RadiologyFLTBD
I20200928002009IDiagnostic RadiologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,92133$0
76770Complete ultrasound scan behind abdominal cavity6060$0
74176Ct scan of abdomen and pelvis without contrast4544$0
71046X-ray of chest, 2 views4443$0
74177Ct scan of abdomen and pelvis with contrast3737$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668727744View full group profile
NameSpecialtyState
Diagnostic RadiologyAL
Diagnostic RadiologyPA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic Radiology, Interventional RadiologyIN
Diagnostic RadiologyWI
Diagnostic RadiologyMN
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

Does KERRI LYNN BADEN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KERRI LYNN BADEN (M.D.) uses 1073508735.
Is KERRI LYNN BADEN (M.D.) listed as active for patients and plans?
The listing shows KERRI LYNN BADEN (M.D.) as active in the NPI system.
What is KERRI LYNN BADEN (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for KERRI LYNN BADEN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect KERRI LYNN BADEN (M.D.) on a map?
Expect Jacksonville, Florida as a primary anchor for KERRI LYNN BADEN (M.D.) unless the record lists multiple sites.
Is the information about KERRI LYNN BADEN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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