DR. JIMMY XU (MD) – Diagnostic Radiology Physician, NPI 1154778959
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
598 DIAGNOSTIC RADIOLOGY in KY
Provider Addresses for DR. JIMMY XU (MD)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 402171318
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Location
South Kingshighway Boulevard, North Hampton, City of Saint Louis, Missouri, 63116, United States
SAINT LOUIS, MO 631101016
Phone:
Type: Mailing
9152 TAYLORSVILLE RD # 276
LOUISVILLE, KY 402991752
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,174.
Total Amount is formed as General ($2,174) + Research ($0) + Ownership ($0) = $2,174.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Penumbra, Inc. ($809).
Total Amount
$2,174
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $809 |
| Inari Medical, Inc. | $539 |
| Bard Peripheral Vascular, Inc. | $241 |
| Boston Scientific Corporation | $241 |
| AngioDynamics, Inc. | $178 |
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: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20220617001745 | I | Diagnostic Radiology | KY | TBD |
| I20220823000340 | I | Interventional Radiology | IN | TBD |
| I20230118000986 | I | Diagnostic Radiology | MO | TBD |
| I20260312003009 | I | Diagnostic Radiology | LA | 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 | 666 | 550 | $0 |
| 70450 | Ct scan head or brain without contrast | 174 | 170 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 131 | 127 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 122 | 117 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 112 | 110 | $0 |
Insurance plans in this area (ZIP 40217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | TN | |
| Interventional Pain Management, Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology, Interventional Radiology | KY |
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