DR. JAYANT M AMBERKER (MD) – Diagnostic Radiology Physician, NPI 1235391616
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. JAYANT M AMBERKER (MD)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 627046924
Phone: (217) 726-8096
Type: Location
4500 MEMORIAL DR
DEPT RADIOLOGY
BELLEVILLE, IL 622265360
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Location
2040, West Iles Avenue, Springfield, Sangamon County, Illinois, 62704, United States
SUITE C
SPRINGFIELD, IL 62704
Phone: (217) 726-8096
Type: Mailing
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Teleflex LLC ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $14 |
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: 2012-07-16
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 |
|---|---|---|---|---|
| I20120702000344 | I | Diagnostic Radiology | MO | TBD |
| I20120716000173 | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 327 | 311 | $0 |
| 71250 | Ct scan of chest without contrast | 190 | 188 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 186 | 172 | $0 |
| 71046 | X-ray of chest, 2 views | 176 | 175 | $0 |
| 71260 | Ct scan of chest with contrast | 164 | 150 | $0 |
Insurance plans in this area (ZIP 62704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 52 | 46 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 138 | 135 |
| DIAGNOSTIC RADIOLOGY | IL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | IL | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | FL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NH | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL |
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