DAVID ALAN HORNBACK (MD) – Radiation Oncology Physician, NPI 1790770964
Radiation Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
161 RADIATION ONCOLOGY in IN
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Provider Addresses for DAVID ALAN HORNBACK (MD)
Memorial Hospital of South Bend, 615, North Michigan Street, North Shore Triangle, South Bend, Saint Joseph County, Indiana, 46601, United States
SOUTH BEND, IN 466011033
Phone: (574) 647-7461
Fax: (574) 647-3148
Type: Location
710, North Niles Avenue, Harters Heights, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
1215 Lawn Ave Ste 120
Elkhart, IN 465142450
Phone: (574) 523-2733
Fax: (574) 523-3251
Type: Location
621 MEMORIAL DR STE 100
SOUTH BEND, IN 466011063
Phone: (574) 647-1100
Type: Location
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 $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Astellas Pharma US Inc ($85).
Total Amount
$141
General + Research + Ownership
Payments
4
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
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: 2005-10-31
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20051031000306 | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 504 | 63 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 251 | 21 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 171 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 137 | 104 | $0 |
| 77300 | Calculation of radiation therapy dose | 120 | 38 | $0 |
Insurance plans in this area (ZIP 46601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | IN | 77427 | Radiation treatment management, 5 treatments | 238 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| - | IN | |
| Vascular Surgery | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN |
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