KENWORTH DAN MORGAN (MD) – Diagnostic Radiology Physician, NPI 1528058401
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KENWORTH DAN MORGAN (MD)
Pine Street, Callao, Macon County, Missouri, United States
ATTN: RADIOLOGY DEPARTMENT
MACON, GA 312017516
Phone: (478) 743-1458
Fax: (478) 755-1332
Mailing address matches the actual address.
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: 2003-12-30
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 |
|---|---|---|---|---|
| I20031230000130 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31201)
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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 | 621 | 572 |
| DIAGNOSTIC RADIOLOGY | GA | 71250 | CT scan chest | 54 | 53 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 40 | 35 |
| DIAGNOSTIC RADIOLOGY | GA | 74177 | CT scan of abdomen and pelvis with contrast | 70 | 69 |
| DIAGNOSTIC RADIOLOGY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| - | GA | |
| Diagnostic Radiology | GA | |
| - | GA | |
| - | GA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA |
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