DR. LESLIE RAY III BRYANT (M.D.) – Diagnostic Radiology Physician, NPI 1710978218
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 DIAGNOSTIC RADIOLOGY in ME
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Provider Addresses for DR. LESLIE RAY III BRYANT (M.D.)
324, Gannett Drive, South Portland, Cumberland County, Maine, 04106, United States
SUITE 200
SOUTH PORTLAND, ME 041063270
Phone: (207) 482-7800
Type: Mailing
Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044016616
Phone: (207) 973-8305
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $32 |
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: 2011-04-28
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 |
|---|---|---|---|---|
| I20110428000046 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 147 | 147 | $0 |
| 71046 | X-ray of chest, 2 views | 100 | 100 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 60 | 59 | $0 |
| 70450 | Ct scan head or brain without contrast | 36 | 35 | $0 |
| 71260 | Ct scan of chest with contrast | 33 | 33 | $0 |
Insurance plans in this area (ZIP 04106)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | WA | |
| Family Practice | AK | |
| - | AK | |
| Internal Medicine | NY | |
| - | AK | |
| Diagnostic Radiology | NC | |
| Nurse Practitioner | AK | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Nurse Midwife (Cnm) | AK |
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