WILLETT PANG (MD) – Diagnostic Radiology Physician, NPI 1407813637
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 WILLETT PANG (MD)
2040, West Iles Avenue, Springfield, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627044183
Phone: (217) 789-0668
Type: Mailing
3050 MONTVALE DR STE A
SPRINGFIELD, IL 627046924
Phone: (217) 726-8096
Type: Location
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.
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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: 2004-04-21
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 |
|---|---|---|---|---|
| I20040421000064 | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 173 | 154 | $0 |
| 71046 | X-ray of chest, 2 views | 165 | 162 | $0 |
| 77067 | Screening mammography | 160 | 160 | $0 |
| 77063 | Screening 3d breast mammography | 157 | 157 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 126 | 117 | $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 | 71010 | X-ray of chest, 1 view, front | 1390 | 1051 |
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 97 | 96 |
| DIAGNOSTIC RADIOLOGY | IL | 73110 | X-ray of wrist, minimum of 3 views | 27 | 26 |
| DIAGNOSTIC RADIOLOGY | IL | 73140 | X-ray of fingers, minimum of 2 views | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 70 | 59 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 86 | 80 |
| DIAGNOSTIC RADIOLOGY | IL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 44 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | WI | |
| General Surgery | WI | |
| Family Practice | IA | |
| Family Practice | IL | |
| - | WI | |
| - | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
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