NICHOLAS FLORENCE (M.D.) – Diagnostic Radiology Physician, NPI 1093100554
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for NICHOLAS FLORENCE (M.D.)
1300 FRANKLIN AVE
NORMAL, IL 617613592
Phone: (309) 454-1400
Type: Location
2650 RIDGE AVE.
DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Phone: (847) 570-2475
Fax: (847) 570-2942
Type: Mailing
2650 Ridge Ave.
Dept. of Radiology
Evanston, IL 60201
Phone: (847) 570-2475
Type: Location
5841 S Maryland Ave
M/C 2026
Chicago, IL 606371447
Phone: (773) 702-3550
Fax: (773) 834-6237
Type: Location
611 W PARK ST
URBANA, IL 618012501
Phone:
Type: Mailing
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: 2020-03-24
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 |
|---|---|---|---|---|
| I20200324000181 | I | Diagnostic Radiology | IL | 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 | 1,375 | 14 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 537 | 30 | $0 |
| 71045 | X-ray of chest, 1 view | 500 | 420 | $0 |
| 77067 | Screening mammography | 264 | 264 | $0 |
| 77063 | Screening 3d breast mammography | 263 | 263 | $0 |
Insurance plans in this area (ZIP 61761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IL | |
| Hospitalist, Family Practice | TX | |
| N E U R O L O G Y | CO | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Family Practice | IN |
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