JOSEPH A KMIECIK (MD) – Diagnostic Radiology Physician, NPI 1942317839
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for JOSEPH A KMIECIK (MD)
626, Bethany Road, DeKalb, DeKalb Township, DeKalb County, Illinois, 60115, United States
DEKALB, IL 601154929
Phone: (815) 756-1521
Type: Mailing
626 BETHANY RD
DEKALB, IL 601154939
Phone: (815) 756-1521
Type: Mailing
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: 2004-07-20
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 |
|---|---|---|---|---|
| I20040720001203 | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 3,112 | 41 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,868 | 23 | $0 |
| 77067 | Screening mammography | 479 | 479 | $0 |
| 77063 | Screening 3d breast mammography | 478 | 478 | $0 |
| 71045 | X-ray of chest, 1 view | 368 | 330 | $0 |
Insurance plans in this area (ZIP 60115)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 12 | 11 |
| DIAGNOSTIC RADIOLOGY | IL | 73562 | X-ray of knee, 3 views | 15 | 13 |
| DIAGNOSTIC RADIOLOGY | IL | 73630 | X-ray of foot, minimum of 3 views | 26 | 23 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 63 | 63 |
| DIAGNOSTIC RADIOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | IL | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 46 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | IL | |
| - | IL | |
| Diagnostic Radiology | IA |
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