MARY L BAKALOS (M.D.) – Diagnostic Radiology Physician, NPI 1629036090
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 MARY L BAKALOS (M.D.)
9, Allan Drive, Maynard, Middlesex County, Massachusetts, 01754, United States
MAYNARD, MA 017541909
Phone: (978) 784-9270
Type: Mailing
Nashoba Valley Medical Center, 200, Groton Road, Ayer, Middlesex County, Massachusetts, 01432, United States
NASHOBA VALLEY MEDICAL CENTER
AYER, MA 014321168
Phone: (978) 784-9270
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: 2004-05-28
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 |
|---|---|---|---|---|
| I20040528000741 | I | Diagnostic Radiology | MA | 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 | 314 | 300 | $0 |
| 71046 | X-ray of chest, 2 views | 179 | 175 | $0 |
| 71250 | Ct scan of chest without contrast | 109 | 104 | $0 |
| 73562 | X-ray of knee, 3 views | 105 | 80 | $0 |
| 77063 | Screening 3d breast mammography | 91 | 91 | $0 |
Insurance plans in this area (ZIP 01754)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 85 | 84 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic 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 |
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