DOUGLAS PAUL ADOLPHSON (MD) – Diagnostic Radiology Physician, NPI 1073767018
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DOUGLAS PAUL ADOLPHSON (MD)
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
West Newberry Road, Beville Heights, Gainesville, Alachua County, Florida, 32607, United States
GAINESVILLE, FL 326072245
Phone: (352) 336-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Medtronic, Inc. ($117).
Total Amount
$155
General + Research + Ownership
Payments
3
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $117 |
| Boston Scientific Corporation | $38 |
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: 2013-10-18
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 |
|---|---|---|---|---|
| I20131018001635 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 846 | 822 | $0 |
| 73721 | Mri scan of leg joint without contrast | 589 | 561 | $0 |
| 73221 | Mri scan of arm joint without contrast | 525 | 500 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 197 | 195 | $0 |
| 72146 | Mri scan of middle spinal canal without contrast | 122 | 115 | $0 |
Insurance plans in this area (ZIP 32224)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 82 | 80 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 27 | 26 |
| DIAGNOSTIC RADIOLOGY | FL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Hand Surgery, Orthopedic Surgery | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| - | FL |
Reviews
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