KEVIN M SMALL (MD) – Vascular & Interventional Radiology Physician, NPI 1689669715
Vascular & Interventional Radiology Physician
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NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for KEVIN M SMALL (MD)
710, North Niles Avenue, Harters Heights, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
621 MEMORIAL DR STE 312
SOUTH BEND, IN 466011073
Phone: (574) 647-5200
Fax: (574) 647-5210
Type: Location
620 W Edison Rd
Suite 110
Mishawaka, IN 465452784
Phone: (574) 258-1100
Fax: (574) 258-1101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040209000938 | I | Diagnostic Radiology | IN | TBD |
| I20250123003892 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 74174 | Ct scan of blood vessels of abdomen and pelvis with contrast | 194 | 170 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 170 | 164 | $0 |
| 71260 | Ct scan of chest with contrast | 153 | 139 | $0 |
| 71045 | X-ray of chest, 1 view | 146 | 139 | $0 |
| 75635 | Ct scan of abdominal aorta and both leg arteries with contrast | 143 | 139 | $0 |
Insurance plans in this area (ZIP 46617)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | IN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | IN | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology, Interventional Radiology, Nuclear Medicine | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Diagnostic Radiology, Interventional Radiology | IN |
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