KELLER S CARLOCK (MD) – Diagnostic Radiology Physician, NPI 1467430363
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 KELLER S CARLOCK (MD)
Peachtree Road, Atlanta, Georgia, 30309, United States
SUITE 505
ATLANTA, GA 303095219
Phone: (404) 352-1409
Fax: (404) 352-8176
Type: Mailing
Peachtree Road, Brookwood, Atlanta, Georgia, 30363, United States
ATLANTA, GA 303091281
Phone: (404) 605-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: TriSalus Life Sciences, Inc. ($71).
Total Amount
$137
General + Research + Ownership
Payments
4
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriSalus Life Sciences, Inc. | $71 |
| GE HEALTHCARE | $66 |
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: 2007-01-25
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 |
|---|---|---|---|---|
| I20070125000286 | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 673 | 673 | $0 |
| 77063 | Screening 3d breast mammography | 625 | 625 | $0 |
| 71045 | X-ray of chest, 1 view | 159 | 146 | $0 |
| 70450 | Ct scan head or brain without contrast | 152 | 143 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 140 | 140 | $0 |
Insurance plans in this area (ZIP 30309)
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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 | 803 | 606 |
| DIAGNOSTIC RADIOLOGY | GA | 71250 | CT scan chest | 95 | 95 |
| DIAGNOSTIC RADIOLOGY | GA | 73562 | X-ray of knee, 3 views | 33 | 28 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 26 | 23 |
| DIAGNOSTIC RADIOLOGY | GA | 74177 | CT scan of abdomen and pelvis with contrast | 84 | 83 |
| DIAGNOSTIC RADIOLOGY | GA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| - | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Diagnostic Radiology, Pediatric Medicine | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | MA |
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