DR. CLARENCE RAYMOND REILLY (MD) – Diagnostic Radiology Physician, NPI 1669453338
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. CLARENCE RAYMOND REILLY (MD)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
Phone: (618) 242-4600
Type: Location
1 Good Samaritan Way
Mount Vernon, IL 628642402
Phone: (618) 242-4600
Type: Location
The Y Store, MN 1; MN 169, Tower, Saint Louis County, Minnesota, 55790, United States
DEPT MR
SAINT LOUIS, MO 631666971
Phone: (303) 465-0401
Fax: (303) 438-1351
Type: Mailing
PO BOX 2153 DEPT 20002
BIRMINGHAM, AL 352876971
Phone: (877) 465-0012
Fax: (303) 438-1351
Type: Mailing
111 OAKWOOD RD
EAST PEORIA, IL 616111853
Phone: (309) 740-4272
Type: Mailing
800 E CARPENTER ST
SPRINGFIELD, IL 627692402
Phone: (217) 544-6464
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2013-06-24
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 |
|---|---|---|---|---|
| I20130624000639 | 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 | 250 | 227 | $0 |
| 77063 | Screening 3d breast mammography | 116 | 116 | $0 |
| 77067 | Screening mammography | 116 | 116 | $0 |
| 71046 | X-ray of chest, 2 views | 98 | 98 | $0 |
| 70450 | Ct scan head or brain without contrast | 58 | 57 | $0 |
Insurance plans in this area (ZIP 62864)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 30 | 25 |
| DIAGNOSTIC RADIOLOGY | IL | 73562 | X-ray of knee, 3 views | 61 | 53 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 98 | 83 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 225 | 216 |
| DIAGNOSTIC RADIOLOGY | IL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | IL | 93922 | Ultrasound study of arteries of both arms and legs | 73 | 71 |
Group practice members
| 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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