GUY KEDZIORA (MD) – Radiation Oncology Physician, NPI 1619977543
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
159 RADIATION ONCOLOGY in IN
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Provider Addresses for GUY KEDZIORA (MD)
1915, Lake Avenue, Plymouth, Marshall County, Indiana, 46563, United States
PLYMOUTH, IN 465639366
Phone: (574) 935-2353
Fax: (574) 935-2373
Type: Location
100 E WAYNE ST STE 510
SOUTH BEND, IN 466012349
Phone: (574) 334-5390
Fax: (574) 334-5368
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Genentech USA, Inc. ($25).
Total Amount
$87
General + Research + Ownership
Payments
4
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-10-18
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 |
|---|---|---|---|---|
| I20071018000320 | I | Radiation Oncology | 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 |
|---|---|---|---|---|
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 127 | 43 | $0 |
| 77014 | Ct guidance for insertion of radiation therapy fields | 118 | 40 | $0 |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 37 | 18 | $0 |
| 77336 | Continuing radiation therapy consultation per week | 18 | 17 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 12 | 12 | $0 |
Insurance plans in this area (ZIP 46563)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Nurse Practitioner | IN | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Radiation Oncology | IN | |
| Medical Oncology, Hematology | IN | |
| - | IN | |
| Medical Oncology, Hematology | IN | |
| Medical Oncology, Hematology | IN | |
| Medical Oncology, Hematology | IN | |
| - | IN |
Reviews
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