DR. KYLE R GORMEZANO (M.D.) – Diagnostic Radiology Physician, NPI 1225027592
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for DR. KYLE R GORMEZANO (M.D.)
500, North Peacock Lane, Jupiter, Palm Beach County, Florida, 33458, United States
JUPITER, FL 334588333
Phone: (561) 512-9780
Fax: (866) 611-6261
Type: Mailing
4201 W Medical Center Dr
McHenry, IL 600508409
Phone: (815) 334-5566
Fax: (815) 759-4008
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-02-12
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 |
|---|---|---|---|---|
| I20240212000646 | I | Diagnostic Radiology | IL | 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 | 530 | 491 | $0 |
| 70450 | Ct scan head or brain without contrast | 317 | 314 | $0 |
| 71046 | X-ray of chest, 2 views | 142 | 139 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 107 | 105 | $0 |
| 72125 | Ct scan of upper spine without contrast | 103 | 102 | $0 |
Insurance plans in this area (ZIP 33458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 50 | 50 |
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 114 | 114 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 14 | 13 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 44 | 43 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 31 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology, Vascular Surgery, Interventional Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | DC | |
| Diagnostic Radiology | TX | |
| Neurology, Diagnostic Radiology | KY | |
| Internal Medicine, Nuclear Medicine, Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | WA |
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