DR. JOHN DOUGLAS EBERSOLE (MD) – Vascular & Interventional Radiology Physician, NPI 1023185287
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
219 INTERVENTIONAL RADIOLOGY in MI
Provider Addresses for DR. JOHN DOUGLAS EBERSOLE (MD)
Bronson Methodist Hospital
601 John Street
Kalamazoo, MI 49007
Phone: (269) 341-6411
Type: Location
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480736712
Phone: (248) 898-6064
Type: Location
Beaumont Health, 26901, Beaumont Boulevard, Southfield, Oakland County, Michigan, 48033, United States
STE 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-1865
Fax: (947) 522-0307
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-05-18 • Largest payer in this snapshot: Boston Scientific Corporation ($142).
Total Amount
$161
General + Research + Ownership
Payments
5
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $142 |
| Cook Medical LLC | $19 |
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: 2005-09-17
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 |
|---|---|---|---|---|
| I20050917000342 | I | Interventional Radiology | MI | 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 |
|---|---|---|---|---|
| 71250 | Ct scan of chest without contrast | 68 | 67 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 55 | 55 | $0 |
| 71046 | X-ray of chest, 2 views | 51 | 51 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 44 | 40 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 41 | 41 | $0 |
Insurance plans in this area (ZIP 49007)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | MI | 71250 | CT scan chest | 64 | 61 |
| INTERVENTIONAL RADIOLOGY | MI | 73630 | X-ray of foot, minimum of 3 views | 14 | 12 |
| INTERVENTIONAL RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 108 | 108 |
| INTERVENTIONAL RADIOLOGY | MI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 19 | 19 |
| INTERVENTIONAL RADIOLOGY | MI | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | MI | |
| - | MI | |
| Emergency Medicine | CA | |
| - | MI | |
| - | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.