DR. DAVID L PORTER (DO) – Diagnostic Radiology Physician, NPI 1316016827
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. DAVID L PORTER (DO)
401 SW Water St
Peoria, IL 616021571
Phone: (309) 494-9320
Type: Location
111 OAKWOOD RD
EAST PEORIA, IL 616111853
Phone:
Type: Mailing
530 NE GLEN OAK AVE
PEORIA, IL 616371571
Phone: (309) 655-2000
Type: Location
10335, North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53092, United States
250
MEQUON, WI 530925763
Phone:
Type: Mailing
401, Southwest Water Street, Central Business District, Peoria, Peoria County, Illinois, 61602, United States
PEORIA, IL 616021571
Phone: (309) 494-9320
Type: Location
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 $142.
Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.
Last reported payment date: 2023-10-14 • Largest payer in this snapshot: Stryker Corporation ($142).
Total Amount
$142
General + Research + Ownership
Payments
1
Total payment records
General Amount
$142
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $142 |
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: 2023-06-05
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 |
|---|---|---|---|---|
| I20230605000425 | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 787 | 776 | $0 |
| 71045 | X-ray of chest, 1 view | 244 | 230 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 113 | 112 | $0 |
| 70450 | Ct scan head or brain without contrast | 100 | 99 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 86 | 86 | $0 |
Insurance plans in this area (ZIP 61602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 67 | 65 |
| DIAGNOSTIC RADIOLOGY | IL | 71010 | X-ray of chest, 1 view, front | 446 | 332 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 132 | 118 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 174 | 165 |
| DIAGNOSTIC RADIOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 25 | 24 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Diagnostic Radiology | FL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | IL |
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