ROSS ALAN HOLWERDA – Diagnostic Radiology Physician, NPI 1063658391
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for ROSS ALAN HOLWERDA
2303, Winchester Road, Doublegate, Saint Andrews, Albany, Dougherty County, Georgia, 31721, United States
ALBANY, GA 31721
Phone: (229) 347-1703
Type: Mailing
4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States
KANSAS CITY, MO 641113220
Phone: (816) 932-2107
Fax: (816) 932-2843
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.
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: 2018-06-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180612001993 | I | Diagnostic Radiology | GA | 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 | 368 | 320 | $0 |
| 70450 | Ct scan head or brain without contrast | 363 | 336 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 177 | 176 | $0 |
| 70551 | Mri scan of brain without contrast | 171 | 170 | $0 |
| 70553 | Mri scan of brain before and after contrast | 146 | 136 | $0 |
Insurance plans in this area (ZIP 31721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Interventional Radiology | TN | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology, Interventional Radiology | GA |
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