DR. PETER MICHAEL RYDESKY (MD) – Diagnostic Radiology Physician, NPI 1053537910
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for DR. PETER MICHAEL RYDESKY (MD)
2325 STONEBRIDGE DR
FLINT, MI 485325407
Phone:
Type: Mailing
1 GENESYS PKWY
GRAND BLANC, MI 484398065
Phone: (810) 230-9215
Type: Location
1 WYOMING ST
DAYTON, OH 454092722
Phone: (937) 709-5051
Fax: (937) 709-5050
Type: Location
1 Genesys Pkwy
Grand Blanc, MI 484398065
Phone: (810) 230-9215
Type: Location
6619 Ridgewood Ct
Clarkston, MI 483485031
Phone: (248) 421-8295
Type: Location
PO BOX 750243
FLINT, OH 485325407
Phone: (937) 709-5051
Fax: (937) 709-5050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Penumbra, Inc. ($153).
Total Amount
$179
General + Research + Ownership
Payments
2
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $153 |
| CARDIVA MEDICAL, INC. | $26 |
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: 2024-02-07
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 |
|---|---|---|---|---|
| I20100108000083 | I | Diagnostic Radiology | MI | TBD |
| I20240207000426 | I | Diagnostic Radiology | OH | 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 | 389 | 304 | $0 |
| 71046 | X-ray of chest, 2 views | 179 | 166 | $0 |
| 70450 | Ct scan head or brain without contrast | 151 | 139 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 55 | 53 | $0 |
| 72125 | Ct scan of upper spine without contrast | 54 | 54 | $0 |
Insurance plans in this area (ZIP 48532)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | IN | |
| Interventional Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | IN |
Reviews
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