MARIBEL L URRUTIA (MD) – Diagnostic Radiology Physician, NPI 1104879360
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,182 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for MARIBEL L URRUTIA (MD)
PO BOX 1678
TALLAHASSEE, FL 323021678
Phone: (850) 878-4102
Fax: (850) 942-4155
Type: Mailing
1600 Phillips Rd
Tallahassee, FL 323085304
Phone: (850) 878-4127
Fax: (850) 878-0337
Type: Location
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 282022742
Phone:
Type: Mailing
1600, Phillips Road, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323085304
Phone: (850) 878-4127
Fax: (850) 878-0337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $4,085.
Total Amount is formed as General ($4,085) + Research ($0) + Ownership ($0) = $4,085.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: HOLOGIC INC ($3,851).
Total Amount
$4,085
General + Research + Ownership
Payments
5
Total payment records
General Amount
$4,085
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HOLOGIC INC | $3,851 |
| Endomagnetics Ltd | $160 |
| Hologic Sales and Service, LLC | $74 |
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: 2025-08-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040615001754 | I | Diagnostic Radiology | FL | TBD |
| I20250802000352 | I | Diagnostic Radiology | NC | TBD |
| I20250802000361 | I | Diagnostic Radiology | SC | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,039 | 1,039 | $0 |
| 77067 | Screening mammography | 1,038 | 1,038 | $0 |
| 71045 | X-ray of chest, 1 view | 224 | 194 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 223 | 16 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 122 | 17 | $0 |
Insurance plans in this area (ZIP 32302)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC |
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