DR. ANDREW N ELLINGSON (MD) – Diagnostic Radiology Physician, NPI 1093864118
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. ANDREW N ELLINGSON (MD)
615, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
SUITE 202
MOLINE, IL 612656180
Phone: (309) 762-1072
Fax: (309) 762-1094
Mailing address matches the actual address.
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: 2015-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070313000574 | I | Diagnostic Radiology | IA | TBD |
| I20070328000072 | I | Diagnostic Radiology | IL | TBD |
| I20150331000018 | I | Diagnostic Radiology | WI | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 449 | 441 | $0 |
| 71045 | X-ray of chest, 1 view | 378 | 359 | $0 |
| 77067 | Screening mammography | 310 | 310 | $0 |
| 77063 | Screening 3d breast mammography | 309 | 309 | $0 |
| 70450 | Ct scan head or brain without contrast | 300 | 296 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 457 | 421 |
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | IL | 73110 | X-ray of wrist, minimum of 3 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 111 | 108 |
| DIAGNOSTIC RADIOLOGY | IL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 79 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL |
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