TIMOTHY D DIVENS (MD) – Diagnostic Radiology Physician, NPI 1164416475
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for TIMOTHY D DIVENS (MD)
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 462563307
Phone: (317) 579-2150
Fax: (317) 579-2130
Type: Location
7340, Shadeland Station, Indianapolis, Indiana, 46256, United States
SUITE 200
INDIANAPOLIS, IN 462563980
Phone: (317) 579-2150
Fax: (317) 579-2130
Type: Mailing
9998 CROSSPOINT BLVD
STE 200
INDIANAPOLIS, IN 462563307
Phone: (317) 579-2150
Fax: (317) 579-2130
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.
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: 2005-05-24
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 |
|---|---|---|---|---|
| I20050524000287 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 769 | 769 | $0 |
| 77067 | Screening mammography | 768 | 768 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 449 | 449 | $0 |
| 71045 | X-ray of chest, 1 view | 298 | 287 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 204 | 200 | $0 |
Insurance plans in this area (ZIP 46256)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 487 | 459 |
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | IN | 73562 | X-ray of knee, 3 views | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | IN | 73630 | X-ray of foot, minimum of 3 views | 29 | 27 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| - | IN | |
| - | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| - | IN |
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