DR. JASON BRADLEY CROWDER (M.D.) – Body Imaging Physician, NPI 1114988086
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. JASON BRADLEY CROWDER (M.D.)
1005 Mar Walt Dr
Fort Walton Beach, FL 325476707
Phone: (228) 731-7114
Type: Location
PO BOX 604
BILOXI, MS 395330604
Phone: (251) 591-9769
Type: Mailing
14245, Dedeaux Road, Orange Grove, Gulfport, Harrison County, Mississippi, 39503, United States
GULFPORT, MS 395033369
Phone: (228) 314-7226
Fax: (228) 314-7227
Type: Location
2478, Provence Place, Biloxi, Harrison County, Mississippi, 39531, United States
BILOXI, MS 395312291
Phone: (251) 591-9769
Type: Mailing
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: 2024-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20080812000118 | I | Diagnostic Radiology | MS | TBD |
| I20180807001808 | I | Diagnostic Radiology | AL | TBD |
| I20210907000924 | I | Diagnostic Radiology | FL | TBD |
| I20211025000486 | I | Diagnostic Radiology | MI | TBD |
| I20240219002884 | I | Diagnostic Radiology | LA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 81 | 74 | $0 |
| 70450 | Ct scan head or brain without contrast | 20 | 20 | $0 |
| 74018 | X-ray of abdomen, 1 view | 19 | 19 | $0 |
| 71046 | X-ray of chest, 2 views | 17 | 17 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32547)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Pain Management | FL | |
| Qualified Audiologist | FL | |
| Family Practice | FL | |
| Diagnostic Radiology | MS | |
| - | FL | |
| Physician Assistant | FL | |
| - | FL |
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