DR. CASEY JOHN FATZ (MD) – Diagnostic Radiology Physician, NPI 1306847488
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for DR. CASEY JOHN FATZ (MD)
PO BOX 1829
COEUR D ALENE, ID 838161829
Phone: (208) 666-3200
Fax: (208) 666-3397
Type: Mailing
700 W IRONWOOD DR
SUITE 110
COEUR D ALENE, ID 838142656
Phone: (208) 666-3200
Fax: (208) 666-3217
Type: Location
700 W IRONWOOD DR STE 175
COEUR D ALENE, ID 838144401
Phone: (208) 625-6309
Fax: (208) 625-6310
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,834.
Total Amount is formed as General ($1,834) + Research ($0) + Ownership ($0) = $1,834.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Medtronic, Inc. ($1,384).
Total Amount
$1,834
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,834
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,384 |
| Sirtex Medical Inc | $337 |
| Inari Medical, Inc. | $50 |
| AstraZeneca Pharmaceuticals LP | $26 |
| Siemens Medical Solutions USA, Inc. | $19 |
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: 2004-05-27
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 |
|---|---|---|---|---|
| I20040527001066 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 687 | 687 | $0 |
| 71045 | X-ray of chest, 1 view | 385 | 347 | $0 |
| 71046 | X-ray of chest, 2 views | 343 | 306 | $0 |
| 70450 | Ct scan head or brain without contrast | 183 | 179 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 157 | 155 | $0 |
Insurance plans in this area (ZIP 83816)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | ID | 71250 | CT scan chest | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | ID | 73562 | X-ray of knee, 3 views | 19 | 18 |
| DIAGNOSTIC RADIOLOGY | ID | 73630 | X-ray of foot, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | ID | 74177 | CT scan of abdomen and pelvis with contrast | 31 | 31 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Orthopedic Surgery | ID | |
| Family Practice | WA | |
| Diagnostic Radiology | ID | |
| Internal Medicine | ID | |
| - | ID |
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