DR. BRETT ALAN HAGEDORN (MD) – Diagnostic Radiology Physician, NPI 1275504458
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. BRETT ALAN HAGEDORN (MD)
PO BOX 80070
FORT WAYNE, IN 468980070
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Mailing
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 468189701
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Location
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 468044159
Phone: (260) 436-0800
Fax: (260) 483-1911
Type: Location
5001 US Highway 30 W Ste D
Fort Wayne, IN 468189701
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Location
PO BOX 749495
ATLANTA, GA 303749495
Phone: (855) 963-2100
Fax: (239) 236-2775
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: 2022-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20090325000457 | I | Diagnostic Radiology | MI | TBD |
| I20091013000598 | I | Diagnostic Radiology | IN | TBD |
| I20131018001765 | I | Diagnostic Radiology | OH | TBD |
| I20221020000232 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 802 | 802 | $0 |
| 77063 | Screening 3d breast mammography | 792 | 792 | $0 |
| 71045 | X-ray of chest, 1 view | 369 | 360 | $0 |
| 70450 | Ct scan head or brain without contrast | 248 | 241 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 149 | 149 | $0 |
Insurance plans in this area (ZIP 46898)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 91 | 91 |
| DIAGNOSTIC RADIOLOGY | IN | 73110 | X-ray of wrist, minimum of 3 views | 48 | 44 |
| DIAGNOSTIC RADIOLOGY | IN | 73562 | X-ray of knee, 3 views | 112 | 102 |
| DIAGNOSTIC RADIOLOGY | IN | 73630 | X-ray of foot, minimum of 3 views | 105 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Physician Assistant | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN |
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