IAN LANDIS (DO) – Diagnostic Radiology Physician, NPI 1275622466
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 IAN LANDIS (DO)
5201, Babcock Street Northeast, Country Club Vista, Palm Bay, Brevard County, Florida, 32905, United States
SUITE 5
PALM BAY, FL 329054637
Phone: (321) 676-5323
Fax: (321) 951-9253
Type: Location
215 RIVERWAY DR
VERO BEACH, FL 329632637
Phone: (772) 231-6170
Fax: (321) 951-9253
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: 2004-02-23
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 |
|---|---|---|---|---|
| I20040223000244 | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 277 | 277 | $0 |
| 77067 | Screening mammography | 272 | 272 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 125 | 125 | $0 |
| 71046 | X-ray of chest, 2 views | 83 | 80 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 76 | 75 | $0 |
Insurance plans in this area (ZIP 32905)
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Provider's Procedures
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