DR. WILLIAM G EVERSMAN (M.D.) – Vascular & Interventional Radiology Physician, NPI 1689657405

DR. WILLIAM G EVERSMAN (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 17013 (AZ). The NPI Number for DR. WILLIAM G EVERSMAN (M.D.) is 1689657405

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM G EVERSMAN (M.D.)
NPI
1689657405
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
25 November 2005
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
0244374403
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20100225000766
Address ID
AZ850544502PH5777XBLVD400

Contacts

Secure Messaging
weversman394424@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

506 INTERVENTIONAL RADIOLOGY in FL

Provider Addresses for DR. WILLIAM G EVERSMAN (M.D.)

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States

    SCOTTSDALE, AZ 852595404

    Phone: (480) 301-8000

    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: 2010-02-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100225000766IInterventional RadiologyAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,10017$0
77067Screening mammography266266$0
77063Screening 3d breast mammography251251$0
76776Ultrasound scan of transplanted kidney136125$0
76770Complete ultrasound scan behind abdominal cavity107106$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Provider's Procedures

DR. WILLIAM G EVERSMAN (M.D.) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYAZ74177CT scan of abdomen and pelvis with contrast3736
INTERVENTIONAL RADIOLOGYAZ76830Ultrasound pelvis through vagina5829
INTERVENTIONAL RADIOLOGYAZ93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5426

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012829930View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. WILLIAM G EVERSMAN (M.D.)'s NPI?
You can confirm DR. WILLIAM G EVERSMAN (M.D.) with NPI 1689657405; it appears in the national provider directory.
Is DR. WILLIAM G EVERSMAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. WILLIAM G EVERSMAN (M.D.) treat or focus on?
Patients typically see DR. WILLIAM G EVERSMAN (M.D.) under the specialty Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. WILLIAM G EVERSMAN (M.D.)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for DR. WILLIAM G EVERSMAN (M.D.).
Is DR. WILLIAM G EVERSMAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1689657405. Always confirm identity and privileges with the practice and licensing boards.

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