DR. KENT E. IBANEZ (MD) – Neuroradiology Physician, NPI 1326007972
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. KENT E. IBANEZ (MD)
4250 Hospital Dr
Marianna, FL 324461917
Phone: (850) 526-2200
Fax: (850) 718-2844
Type: Location
12554, Riata Vista Circle, Apple, Austin, Travis County, Texas, 78727, United States
AUSTIN, TX 787276431
Phone: (512) 795-5100
Fax: (512) 795-5122
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
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.
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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: 2025-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20060510000620 | I | Diagnostic Radiology | TX | TBD |
| I20240409004438 | I | Diagnostic Radiology | IL | TBD |
| I20241111000047 | I | Diagnostic Radiology | CT | TBD |
| I20250626003093 | I | Diagnostic Radiology | FL | TBD |
| I20250915003775 | I | Diagnostic Radiology | AL | TBD |
| I20251223004321 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 499 | 491 | $0 |
| 71045 | X-ray of chest, 1 view | 354 | 349 | $0 |
| 72125 | Ct scan of upper spine without contrast | 191 | 191 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 144 | 142 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 105 | 104 | $0 |
Insurance plans in this area (ZIP 32446)
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Provider's Procedures
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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