ROURKE M STAY (MD) – Diagnostic Radiology Physician, NPI 1417165465
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
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Provider Addresses for ROURKE M STAY (MD)
PO BOX 370
FORTSON, GA 318080370
Phone:
Fax: (706) 494-3008
Type: Mailing
717, 20th Street, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States
COLUMBUS, GA 319022787
Phone: (706) 653-0292
Fax: (706) 653-1162
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: 2014-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20100916000822 | I | Diagnostic Radiology | GA | TBD |
| I20140929001684 | I | Diagnostic Radiology | AL | 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 | 208 | 137 | $0 |
| 73560 | X-ray of knee, 1-2 views | 206 | 199 | $0 |
| 73721 | Mri scan of leg joint without contrast | 185 | 171 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 171 | 171 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 167 | 147 | $0 |
Insurance plans in this area (ZIP 31808)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 59 | 54 |
| DIAGNOSTIC RADIOLOGY | GA | 62311 | Injections of substances into lower or sacral spine | 29 | 26 |
| DIAGNOSTIC RADIOLOGY | GA | 71250 | CT scan chest | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | GA | 73562 | X-ray of knee, 3 views | 64 | 63 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 51 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | AL | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery, Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | SC | |
| Sports Medicine, Orthopedic Surgery | GA | |
| Occupational Therapist In Private Practice | GA |
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