SUSAN PHELPS (MD) – Diagnostic Radiology Physician, NPI 1316006612
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 SUSAN PHELPS (MD)
804 SERVICE RD STE A109B
EAST LANSING, MI 488247015
Phone: (517) 884-3348
Fax: (517) 432-2849
Type: Mailing
804 SERVICE RD STE D100
EAST LANSING, MI 488247015
Phone: (517) 353-4941
Fax: (517) 432-3145
Type: Location
145, South Technology Parkway Northwest, Peachtree Corners, Gwinnett County, Georgia, 30092, United States
C/O MEDICAL DOCTOR ASSOCIATES
NORCROSS, GA 300922913
Phone: (866) 220-9505
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, OH 455011822
Phone: (937) 123-4567
Type: Mailing
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: 2020-12-10
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 |
|---|---|---|---|---|
| I20040416000004 | I | Diagnostic Radiology | OH | TBD |
| I20201210000994 | I | Diagnostic 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 6,955 | 75 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 2,060 | 11 | $0 |
| 71046 | X-ray of chest, 2 views | 91 | 88 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 86 | 78 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 78 | 78 | $0 |
Insurance plans in this area (ZIP 48824)
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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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