MARY H NICHOLSON (M.D.) – Diagnostic Radiology Physician, NPI 1306839667
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for MARY H NICHOLSON (M.D.)
9201, Calumet Avenue, Munster, Lake County, Indiana, 46321, United States
MUNSTER, IN 463212807
Phone: (219) 836-2022
Fax: (219) 806-0034
Type: Mailing
Community Hospital, 901, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
MUNSTER RADIOLOGY GROUP
MUNSTER, IN 463212901
Phone: (219) 836-4569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Merit Medical Systems Inc ($20).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merit Medical Systems Inc | $20 |
| Hologic Sales and Service, LLC | $14 |
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: 2010-08-02
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 |
|---|---|---|---|---|
| I20100802000945 | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 3,151 | 3,151 | $0 |
| 77063 | Screening 3d breast mammography | 3,141 | 3,141 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 312 | 259 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 309 | 305 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 243 | 243 | $0 |
Insurance plans in this area (ZIP 46321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Diagnostic Radiology | IN | |
| Physician Assistant | IL | |
| Diagnostic Radiology | IN | |
| - | IN | |
| - | IN | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| - | IN | |
| - | IN | |
| - | IN |
Reviews
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