DR. SEAN TIMOTHY WILLGRUBER (M.D.) – Diagnostic Radiology Physician, NPI 1790781649
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. SEAN TIMOTHY WILLGRUBER (M.D.)
Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011759
Phone: (270) 780-2497
Fax: (270) 783-0454
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: 2004-06-08
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 |
|---|---|---|---|---|
| I20040608001368 | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,775 | 15 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 653 | 39 | $0 |
| 70553 | Mri scan of brain before and after contrast | 36 | 35 | $0 |
| 77063 | Screening 3d breast mammography | 36 | 36 | $0 |
| 77067 | Screening mammography | 36 | 36 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| Nurse Practitioner | KY |
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