DR. EVAN PAPPAS (DO) – Diagnostic Radiology Physician, NPI 1285039453

DR. EVAN PAPPAS (DO) is a healthcare provider. based in Louisville, Kentucky. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. DR.0065802 (CO). The NPI Number for DR. EVAN PAPPAS (DO) is 1285039453

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN PAPPAS (DO)
NPI
1285039453
Phone
(502) 852-5875
Address
530 S JACKSON ST
Enumeration Date
29 October 2014
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
COL OF OSTEO MED OF THE PACIFIC AT LEBANON
Secondary Phone
5412582101
Graduation Year
2016 (10 years ago)
PAC ID
5193024388
Group Practice PAC ID
2062300676
Professional Enrollment ID
I20240405000007
Address ID
OR973554363LE525XXHWYX400

Contacts

Secure Messaging
epappascontractstaff290348@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

596 DIAGNOSTIC RADIOLOGY in KY

Provider Addresses for DR. EVAN PAPPAS (DO)

  • 530 S JACKSON ST

    LOUISVILLE, KY 402021675

    Phone: (502) 852-5875

    Type: Mailing

  • 12401 E 17TH AVE

    AURORA, CO 800452548

    Phone: (720) 848-0000

    Type: Mailing

  • 930 SW Abbey St

    Newport, OR 973654820

    Phone: (541) 265-2244

    Type: Location

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

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: 2024-04-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220706002386IDiagnostic RadiologyTXTBD
I20240405000007IDiagnostic RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view8975$0
71046X-ray of chest, 2 views3535$0
74018X-ray of abdomen, 1 view1212$0
71250Ct scan of chest without contrast1111$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062300676View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyMA
Diagnostic RadiologyOR
Diagnostic Radiology, Interventional RadiologyOR
Diagnostic RadiologyOR
Physician AssistantOR
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyVA
-OR

Reviews

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Frequently asked questions

Can I verify DR. EVAN PAPPAS (DO) with an NPI only?
You can start verification with NPI 1285039453 for DR. EVAN PAPPAS (DO), then check state licensing separately.
Does the file indicate DR. EVAN PAPPAS (DO) is practicing under active NPI?
Directory data currently reports DR. EVAN PAPPAS (DO) as active.
What healthcare role does DR. EVAN PAPPAS (DO) hold?
Scheduling teams often label DR. EVAN PAPPAS (DO) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. EVAN PAPPAS (DO) list a practice location?
Patients near Louisville, Kentucky may find DR. EVAN PAPPAS (DO) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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