KENNETH R CLOSE (MD) – Diagnostic Radiology Physician, NPI 1295798825
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 KENNETH R CLOSE (MD)
4250 Hospital Dr
Marianna, FL 324461917
Phone: (850) 526-2200
Fax: (850) 718-2844
Type: Location
2722, Osler Boulevard, Bryan, Brazos County, Texas, 77802, United States
BRYAN, TX 778022517
Phone: (979) 776-8291
Fax: (979) 774-7871
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: 2025-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050411000984 | I | Diagnostic Radiology | TX | TBD |
| I20250228000518 | I | Diagnostic Radiology | FL | TBD |
| I20250916004799 | I | Diagnostic Radiology | ND | TBD |
| I20251005000275 | I | Diagnostic Radiology | AL | 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 | 620 | 524 | $0 |
| 70450 | Ct scan head or brain without contrast | 331 | 311 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 308 | 292 | $0 |
| 77067 | Screening mammography | 241 | 241 | $0 |
| 71046 | X-ray of chest, 2 views | 212 | 207 | $0 |
Insurance plans in this area (ZIP 32446)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 949 | 839 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | TX | 73630 | X-ray of foot, minimum of 3 views | 45 | 44 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 181 | 174 |
| DIAGNOSTIC RADIOLOGY | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 75 | 72 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, General Practice | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Nurse Practitioner | FL | |
| - | IN | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL |
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