MICHAEL J JURGENS (MD) – Diagnostic Radiology Physician, NPI 1649244294
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,271 DIAGNOSTIC RADIOLOGY in GA
Provider Addresses for MICHAEL J JURGENS (MD)
PO BOX 3157
INDIANAPOLIS, IN 462063157
Phone: (770) 405-2976
Type: Mailing
790 CHURCH ST NE STE 400
MARIETTA, GA 300608957
Phone: (770) 405-2976
Type: Location
PO BOX 116414
ATLANTA, GA 303686414
Phone: (770) 779-2172
Type: Mailing
3000 Hospital Blvd
Roswell, GA 300764915
Phone: (770) 751-2500
Type: Location
WellStar North Fulton Hospital, 3000, Hospital Boulevard, Roswell, Fulton County, Georgia, 30076, United States
ROSWELL, GA 300764915
Phone: (770) 751-2500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Genentech USA, Inc. ($75).
Total Amount
$312
General + Research + Ownership
Payments
14
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
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: 2004-07-02
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 |
|---|---|---|---|---|
| I20040702000624 | I | Diagnostic Radiology | GA | 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 | 765 | 765 | $0 |
| 77063 | Screening 3d breast mammography | 745 | 745 | $0 |
| 71250 | Ct scan of chest without contrast | 321 | 316 | $0 |
| 71045 | X-ray of chest, 1 view | 277 | 250 | $0 |
| 76376 | 3d radiographic procedure | 196 | 195 | $0 |
Insurance plans in this area (ZIP 46206)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | VA | |
| - | GA | |
| - | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Interventional Radiology | IN |
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