DR. JEREMY WAYNE THACKER (M.D.) – Diagnostic Radiology Physician, NPI 1003026295
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
596 DIAGNOSTIC RADIOLOGY in KY
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Provider Addresses for DR. JEREMY WAYNE THACKER (M.D.)
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
HX316
LEXINGTON, KY 405360293
Phone: (859) 948-7773
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.
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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: 2009-03-27
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 |
|---|---|---|---|---|
| I20090327000518 | 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 | 333 | 314 | $0 |
| 70450 | Ct scan head or brain without contrast | 160 | 156 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 159 | 156 | $0 |
| 72125 | Ct scan of upper spine without contrast | 141 | 139 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 126 | 122 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KY | 73110 | X-ray of wrist, minimum of 3 views | 38 | 37 |
| DIAGNOSTIC RADIOLOGY | KY | 73630 | X-ray of foot, minimum of 3 views | 61 | 52 |
| DIAGNOSTIC RADIOLOGY | KY | 74177 | CT scan of abdomen and pelvis with contrast | 260 | 246 |
| DIAGNOSTIC RADIOLOGY | KY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY | |
| - | KY |
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