DR. SHANE KUDELA (MD) – Diagnostic Radiology Physician, NPI 1831177179
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 DR. SHANE KUDELA (MD)
Next Level Fitness, 485, Huntington Road, Holiday Estates, Athens, Athens-Clarke County, Georgia, 30606, United States
#180
ATHENS, GA 30606
Phone: (706) 546-6841
Type: Mailing
St. Mary's, 1230, Baxter Street, Beechwood Hills, Athens, Athens-Clarke County, Georgia, 30606, United States
ATHENS, GA 30606
Phone: (706) 548-7581
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $387.
Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Penumbra, Inc. ($257).
Total Amount
$387
General + Research + Ownership
Payments
5
Total payment records
General Amount
$387
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $257 |
| Boston Scientific Corporation | $113 |
| Becton, Dickinson and Company | $17 |
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: 2004-06-11
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 |
|---|---|---|---|---|
| I20040611001048 | 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 | 887 | 747 | $0 |
| 71046 | X-ray of chest, 2 views | 451 | 440 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 273 | 273 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 239 | 232 | $0 |
| 71250 | Ct scan of chest without contrast | 122 | 122 | $0 |
Insurance plans in this area (ZIP 30606)
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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 | 703 | 629 |
| DIAGNOSTIC RADIOLOGY | GA | 73630 | X-ray of foot, minimum of 3 views | 40 | 37 |
| DIAGNOSTIC RADIOLOGY | GA | 74177 | CT scan of abdomen and pelvis with contrast | 151 | 149 |
| DIAGNOSTIC RADIOLOGY | GA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 80 | 78 |
| DIAGNOSTIC RADIOLOGY | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 54 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Interventional Radiology | GA | |
| - | GA | |
| Interventional Radiology | GA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | SC |
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