Unknown Individual – Diagnostic Radiology Physician, NPI 1679571210
Diagnostic Radiology Physician
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Provider Addresses for Unknown Individual
734, North 3rd Street, Leesburg, Lake County, Florida, 34748, United States
SUITE 115
LEESBURG, FL 347485285
Phone: (352) 365-2583
Fax: (352) 728-4679
Type: Mailing
801, Dixie Avenue, Leesburg, Lake County, Florida, 34748, United States
SUITE 104
LEESBURG, FL 347487600
Phone: (352) 365-2583
Fax: (352) 728-4679
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Medicare Enrollment & Revalidation
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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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 972 | 16 | $0 |
| 71045 | X-ray of chest, 1 view | 348 | 310 | $0 |
| 71046 | X-ray of chest, 2 views | 160 | 157 | $0 |
| 70450 | Ct scan head or brain without contrast | 69 | 67 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 57 | 57 | $0 |
Insurance plans in this area (ZIP 34748)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 113 | 111 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 29 | 28 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 37 | 32 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 186 | 183 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 134 | 134 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Diagnostic Radiology, Nuclear Medicine | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL |
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