DR. JONATHAN MICHAEL FEDDOCK (MD) – Radiation Oncology Physician, NPI 1164685012
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
98 RADIATION ONCOLOGY in KY
Provider Addresses for DR. JONATHAN MICHAEL FEDDOCK (MD)
800 ROSE STREET HQ-101
LEXINGTON, KY 405360293
Phone: (859) 229-2726
Type: Location
4560, Windstar Way, Lexington, Fayette County, Kentucky, 40503-4416, United States
LEXINGTON, KY 405154818
Phone: (859) 229-2726
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $212.
Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.
Last reported payment date: 2024-02-16 • Largest payer in this snapshot: Galvanize Therapeutics, Inc ($113).
Total Amount
$212
General + Research + Ownership
Payments
3
Total payment records
General Amount
$212
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galvanize Therapeutics, Inc | $113 |
| IsoRay, Inc | $73 |
| Cumberland Pharmaceuticals, Inc. | $25 |
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: 2013-02-09
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 |
|---|---|---|---|---|
| I20130209000030 | I | Radiation Oncology | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 406 | 52 | $0 |
| 77300 | Calculation of radiation therapy dose | 361 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 100 | 85 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 91 | 36 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 77 | 35 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | UT | |
| Radiation Oncology | KY | |
| Radiation Oncology | KY | |
| Radiation Oncology | KY |
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