JACK M DREW (MD) – Diagnostic Radiology Physician, NPI 1255321014
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
927 DIAGNOSTIC RADIOLOGY in CO
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Provider Addresses for JACK M DREW (MD)
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
INDIANAPOLIS, IN 462786013
Phone: (719) 578-1162
Fax: (719) 578-1462
Type: Mailing
Memorial Hospital Central, 1400, East Boulder Street, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 809095533
Phone: (719) 365-5853
Fax: (719) 365-1048
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: 2024-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20150203000103 | I | Diagnostic Radiology | CO | TBD |
| I20160919001709 | I | Diagnostic Radiology | TX | TBD |
| I20181016001025 | I | Diagnostic Radiology | OK | TBD |
| I20210217001562 | I | Diagnostic Radiology | CA | TBD |
| I20220627003516 | I | Diagnostic Radiology | PA | TBD |
| I20230322000887 | I | Diagnostic Radiology | NM | TBD |
| I20241029002398 | I | Diagnostic Radiology | MD | TBD |
| I20241216000072 | I | Diagnostic Radiology | DC | 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 | 1,214 | 1,177 | $0 |
| 70450 | Ct scan head or brain without contrast | 625 | 618 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 360 | 358 | $0 |
| 71046 | X-ray of chest, 2 views | 348 | 343 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 187 | 185 | $0 |
Insurance plans in this area (ZIP 46278)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Hospitalist | NY | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | PA | |
| Physician Assistant | DE | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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