BRUCE WOLF (DO) – Vascular & Interventional Radiology Physician, NPI 1275639874
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
219 INTERVENTIONAL RADIOLOGY in MI
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Provider Addresses for BRUCE WOLF (DO)
804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States
# A109F
EAST LANSING, MI 488247015
Phone: (517) 884-2976
Fax: (517) 432-3928
Type: Mailing
Service Road, East Neighborhood, East Lansing, Ingham County, Michigan, 48824, United States
EAST LANSING, MI 488247015
Phone: (517) 884-2976
Fax: (517) 432-3928
Type: Location
804 SERVICE RD STE A109B
EAST LANSING, MI 488247015
Phone: (517) 975-8930
Fax: (517) 337-4985
Type: Mailing
3220 DISCOVERY DR STE 100
LANSING, MI 489107015
Phone: (517) 975-8930
Fax: (517) 337-4985
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: 2004-02-07
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 |
|---|---|---|---|---|
| I20040207000170 | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 3,360 | 21 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,155 | 13 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 44 | 44 | $0 |
| 73721 | Mri scan of leg joint without contrast | 37 | 34 | $0 |
| 73221 | Mri scan of arm joint without contrast | 24 | 24 | $0 |
Insurance plans in this area (ZIP 48824)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | MI | 62311 | Injections of substances into lower or sacral spine | 19 | 15 |
| INTERVENTIONAL RADIOLOGY | MI | 71010 | X-ray of chest, 1 view, front | 324 | 244 |
| INTERVENTIONAL RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 32 | 32 |
| INTERVENTIONAL RADIOLOGY | MI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 24 | 24 |
| INTERVENTIONAL RADIOLOGY | MI | 93922 | Ultrasound study of arteries of both arms and legs | 19 | 19 |
| INTERVENTIONAL RADIOLOGY | MI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Family Practice | MI | |
| Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine | MI | |
| Osteopathic Manipulative Medicine | MI | |
| - | MI | |
| Internal Medicine | MI | |
| P S Y C H I A T R Y | MI |
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