DR. ETHEL SUSAN HERSKOVIC (DO) – Diagnostic Radiology Physician, NPI 1104130269
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 DR. ETHEL SUSAN HERSKOVIC (DO)
2036 MALORY LN
HIGHLAND PARK, IL 600351626
Phone: (847) 757-9971
Type: Mailing
355 RIDGE AVE
EVANSTON, IL 602023328
Phone: (847) 316-6101
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
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: 2022-01-19
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 |
|---|---|---|---|---|
| I20130823001157 | I | Diagnostic Radiology | IL | TBD |
| I20220119001309 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 652 | 590 | $0 |
| 71046 | X-ray of chest, 2 views | 567 | 552 | $0 |
| 73502 | X-ray of hip, 2-3 views | 195 | 192 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 187 | 184 | $0 |
| 73564 | X-ray of knee, 4 or more views | 164 | 140 | $0 |
Insurance plans in this area (ZIP 60035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | MN | |
| Nuclear Medicine, Diagnostic Radiology | GA |
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