BRYAN LEE KAUFMAN (M.D.) – Diagnostic Radiology Physician, NPI 1881691764
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
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Provider Addresses for BRYAN LEE KAUFMAN (M.D.)
4136, Stowe Run Lane, Hidden Hills, Jacksonville, Duval County, Florida, 32225, United States
STE 204
JACKSONVILLE, FL 322251622
Phone: (216) 255-5743
Fax: (866) 735-3451
Mailing address matches the actual address.
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: 2016-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050817000379 | I | Diagnostic Radiology | FL | TBD |
| I20141103002402 | I | Diagnostic Radiology | IL | TBD |
| I20160927002997 | I | Diagnostic Radiology | TN | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 28 | 28 | $0 |
| 71046 | X-ray of chest, 2 views | 18 | 18 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 18 | 18 | $0 |
Insurance plans in this area (ZIP 32225)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology, Nuclear Medicine | NJ | |
| - | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| - | FL | |
| - | FL | |
| - | FL |
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