DR. MICHAEL SEAN ENSLOW (M.D.) – Diagnostic Radiology Physician, NPI 1295094530
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
195 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for DR. MICHAEL SEAN ENSLOW (M.D.)
2265 E SUNNYSIDE RD
IDAHO FALLS, ID 834047598
Phone: (208) 542-5000
Fax: (208) 542-5151
Type: Mailing
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Phone: (208) 529-6111
Type: Location
2301 Erwin Rd
Durham, NC 27705
Phone: (919) 684-1111
Type: Location
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: 2025-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180618002747 | I | Diagnostic Radiology | ID | TBD |
| I20180618003288 | I | Diagnostic Radiology | MT | TBD |
| I20180720000888 | I | Diagnostic Radiology | WY | TBD |
| I20251015001075 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 2,225 | 23 | $0 |
| 77067 | Screening mammography | 840 | 839 | $0 |
| 77063 | Screening 3d breast mammography | 811 | 810 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 305 | 305 | $0 |
| 71045 | X-ray of chest, 1 view | 266 | 253 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Diagnostic Radiology, Interventional Radiology | ID | |
| Interventional Radiology | ID | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | ID | |
| - | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID |
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