DR. KENNETH R PEELLE (MD) – Diagnostic Radiology Physician, NPI 1043264104
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
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Provider Addresses for DR. KENNETH R PEELLE (MD)
185, Great Pond Road, Stevens Crossing, North Andover, Essex County, Massachusetts, 01845, United States
NORTH ANDOVER, MA 018453026
Phone: (978) 685-8181
Fax: (978) 688-2425
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: 2012-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050907000123 | I | Diagnostic Radiology | MA | TBD |
| I20121102000261 | I | Diagnostic Radiology | HI | 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 | 201 | 184 | $0 |
| 71046 | X-ray of chest, 2 views | 191 | 189 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 60 | 60 | $0 |
| 74018 | X-ray of abdomen, 1 view | 58 | 57 | $0 |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 50 | 49 | $0 |
Insurance plans in this area (ZIP 01845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 74177 | CT scan of abdomen and pelvis with contrast | 20 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | MA | |
| Physician Assistant | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Interventional Radiology, Diagnostic Radiology | MN | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MA |
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