DOUGLAS MITCHELL SIDES (M.D.) – Diagnostic Radiology Physician, NPI 1144228255
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 INTERVENTIONAL RADIOLOGY in HI
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Provider Addresses for DOUGLAS MITCHELL SIDES (M.D.)
688, Kinoʻole Street, Waiākea, Hilo, Hawaiʻi County, Hawaii, 96720, United States
SUITE 103
HILO, HI 96720
Phone: (808) 935-1825
Fax: (903) 663-7394
Type: Location
688 Kinoole St
Suite 103
Hilo, HI 96720
Phone: (808) 935-1825
Fax: (903) 663-7394
Type: Location
PO BOX 30077
SALT LAKE CITY, UT 841300077
Phone: (702) 477-0772
Type: Mailing
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: LEICA MICROSYSTEMS INC. ($37).
Total Amount
$57
General + Research + Ownership
Payments
2
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEICA MICROSYSTEMS INC. | $37 |
| Hologic Sales and Service, LLC | $20 |
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: 2003-12-10
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 |
|---|---|---|---|---|
| I20031210000433 | I | Interventional Radiology | CA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,640 | 69 | $0 |
| 77067 | Screening mammography | 1,196 | 1,196 | $0 |
| 77063 | Screening 3d breast mammography | 1,165 | 1,165 | $0 |
| 71045 | X-ray of chest, 1 view | 432 | 390 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 420 | 420 | $0 |
Insurance plans in this area (ZIP 96720)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | HI | 71010 | X-ray of chest, 1 view, front | 475 | 417 |
| INTERVENTIONAL RADIOLOGY | HI | 71250 | CT scan chest | 16 | 15 |
| INTERVENTIONAL RADIOLOGY | HI | 73110 | X-ray of wrist, minimum of 3 views | 17 | 17 |
| INTERVENTIONAL RADIOLOGY | HI | 73562 | X-ray of knee, 3 views | 34 | 31 |
| INTERVENTIONAL RADIOLOGY | HI | 73630 | X-ray of foot, minimum of 3 views | 30 | 26 |
| INTERVENTIONAL RADIOLOGY | HI | 74177 | CT scan of abdomen and pelvis with contrast | 67 | 66 |
| INTERVENTIONAL RADIOLOGY | HI | 76830 | Ultrasound pelvis through vagina | 17 | 16 |
| INTERVENTIONAL RADIOLOGY | HI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 32 | 31 |
| INTERVENTIONAL RADIOLOGY | HI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Physician Assistant | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Diagnostic Radiology | AZ | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | CA |
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