DR. MICHAEL GREGORY FAZIO (DO) – Diagnostic Radiology Physician, NPI 1811123433
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. MICHAEL GREGORY FAZIO (DO)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Mailing
4500 MEMORIAL DR
DEPT RADIOLOGY
BELLEVILLE, IL 622265360
Phone: (618) 257-5613
Fax: (314) 454-4641
Type: Location
Lasting Skin Solutions, 2981, Yarmouth Greenway Drive, Highlands of Seminole, Fitchburg, Dane County, Wisconsin, 53711, United States
600 HIGHLAND AVE
MADISON, WI 537920001
Phone: (808) 263-8799
Type: Mailing
7147 VISTA DR STE 150
WEST DES MOINES, IA 502669317
Phone: (515) 875-9255
Fax: (515) 875-9223
Type: Mailing
5950 UNIVERSITY AVE STE 145
WEST DES MOINES, IA 502668233
Phone: (515) 244-5109
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.
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: 2024-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20150515001148 | I | Diagnostic Radiology | WI | TBD |
| I20170906003668 | I | Diagnostic Radiology | DC | TBD |
| I20200318000081 | I | Diagnostic Radiology | IL | TBD |
| I20201119001589 | I | Diagnostic Radiology | MO | TBD |
| I20210419001044 | I | Diagnostic Radiology | IA | TBD |
| I20240313002783 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 12,967 | 157 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 9,334 | 132 | $0 |
| 77067 | Screening mammography | 544 | 544 | $0 |
| 70450 | Ct scan head or brain without contrast | 495 | 489 | $0 |
| 77063 | Screening 3d breast mammography | 477 | 477 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | LA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Interventional Cardiology, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Interventional Radiology, Diagnostic Radiology | PA |
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