DR. JASON MATTHEW ADLEBERG (MD) – Diagnostic Radiology Physician, NPI 1366071516
Diagnostic Radiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for DR. JASON MATTHEW ADLEBERG (MD)
25 Jacobs Gulch Rd
Kellogg, ID 838372023
Phone: (208) 784-1221
Fax: (208) 784-0961
Type: Location
700 W IRONWOOD DR STE 175
COEUR D ALENE, ID 838144401
Phone: (208) 625-6300
Fax: (208) 625-6301
Type: Mailing
234 E 149TH ST
BRONX, NY 104515504
Phone: (718) 579-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250625001940 | I | Diagnostic Radiology | ID | TBD |
| I20251203001896 | I | Diagnostic Radiology | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83837)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | HI | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Diagnostic Radiology | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.