DR. RAINE WILLIAM PENDARVIS (M.D.) – Diagnostic Radiology Physician, NPI 1760467005
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for DR. RAINE WILLIAM PENDARVIS (M.D.)
3107 WATSONS BND
ALPHARETTA, GA 300048825
Phone: (678) 691-0487
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)
CMS reports 2 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Laborie Medical Technologies Corp. ($75).
Total Amount
$75
General + Research + Ownership
Payments
2
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Laborie Medical Technologies Corp. | $75 |
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: 2010-01-21
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 |
|---|---|---|---|---|
| I20100121000754 | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 112 | 111 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 52 | 52 | $0 |
| 70551 | Mri scan of brain without contrast | 42 | 42 | $0 |
| 71045 | X-ray of chest, 1 view | 40 | 37 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 35 | 35 | $0 |
Insurance plans in this area (ZIP 30004)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | TX | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology | WY | |
| Nurse Practitioner | SC | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| - | CA | |
| Diagnostic Radiology | FL |
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