DR. BRIAN M. WORM (M.D.) – Diagnostic Radiology Physician, NPI 1841291143
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 DR. BRIAN M. WORM (M.D.)
1214, Spring Street, Jeffersonville, Clark County, Indiana, 47130, United States
SUITE 2
JEFFERSONVILLE, IN 471303704
Phone: (812) 283-5950
Fax: (812) 285-5439
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-11-21
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 |
|---|---|---|---|---|
| I20051117000853 | I | Diagnostic Radiology | IN | TBD |
| I20071121000298 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 735 | 698 | $0 |
| 77067 | Screening mammography | 454 | 454 | $0 |
| 77063 | Screening 3d breast mammography | 454 | 454 | $0 |
| 71046 | X-ray of chest, 2 views | 225 | 224 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 211 | 211 | $0 |
Insurance plans in this area (ZIP 47130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 966 | 830 |
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 124 | 122 |
| DIAGNOSTIC RADIOLOGY | IN | 73110 | X-ray of wrist, minimum of 3 views | 33 | 30 |
| DIAGNOSTIC RADIOLOGY | IN | 73562 | X-ray of knee, 3 views | 22 | 20 |
| DIAGNOSTIC RADIOLOGY | IN | 73630 | X-ray of foot, minimum of 3 views | 71 | 62 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 120 | 119 |
| DIAGNOSTIC RADIOLOGY | IN | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | IN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Interventional Radiology, Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | IN |
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