AMANDA F BAUER (MD) – Diagnostic Radiology Physician, NPI 1093721052
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
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Provider Addresses for AMANDA F BAUER (MD)
PO BOX 2994
KENNESAW, GA 301569181
Phone: (770) 779-2171
Type: Mailing
3949, South Cobb Drive, Smyrna Heights, Atlanta, Cobb, Georgia, 30080, United States
SMYRNA, GA 300806342
Phone: (770) 434-0710
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: 2019-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20060821000520 | I | Diagnostic Radiology | GA | TBD |
| I20080731000523 | I | Diagnostic Radiology | NC | TBD |
| I20190903002352 | I | Diagnostic Radiology | VA | TBD |
| I20190927001593 | I | Diagnostic Radiology | DC | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,838 | 1,837 | $0 |
| 77067 | Screening mammography | 1,824 | 1,824 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 22 | 22 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 17 | 17 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30156)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | TX | |
| - | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| - | NC |
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