MR. GAUTAM JAGOO (MD) – Diagnostic Radiology Physician, NPI 1124092986
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 MR. GAUTAM JAGOO (MD)
2225 SUNDOWN DR NE
ATLANTA, GA 303453552
Phone: (404) 805-4947
Fax: (404) 501-5707
Type: Mailing
Eastside Medical Center, 1700, Medical Way, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300782195
Phone: (770) 979-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-06-22 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $16 |
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: 2005-08-24
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 |
|---|---|---|---|---|
| I20050824000612 | 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 | 455 | 388 | $0 |
| 70450 | Ct scan head or brain without contrast | 250 | 228 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 130 | 125 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 99 | 95 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 79 | 79 | $0 |
Insurance plans in this area (ZIP 30345)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GA | 71010 | X-ray of chest, 1 view, front | 1054 | 754 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 14 | 13 |
| DIAGNOSTIC RADIOLOGY | GA | 76830 | Ultrasound pelvis through vagina | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | GA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | GA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 28 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Interventional Radiology | GA | |
| - | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | MD |
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