DR. AMY MARIE FEDERICO (DO) – Diagnostic Radiology Physician, NPI 1316955925
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. AMY MARIE FEDERICO (DO)
Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259746
Phone: (616) 363-7339
Fax: (616) 361-5828
Type: Mailing
3264 N Evergreen Dr NE
Grand Rapids, MI 495259746
Phone: (616) 363-7339
Fax: (616) 361-5828
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
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: 2025-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20060831000244 | I | Diagnostic Radiology | MI | TBD |
| I20230330001288 | I | Diagnostic Radiology | ME | TBD |
| I20230602001131 | I | Diagnostic Radiology | CA | TBD |
| I20230919002344 | I | Diagnostic Radiology | MT | TBD |
| I20240420000094 | I | Diagnostic Radiology | TX | TBD |
| I20251014002837 | I | Diagnostic Radiology | IA | TBD |
| I20251124003596 | I | Diagnostic Radiology | WY | 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 | 451 | 400 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 157 | 157 | $0 |
| 71046 | X-ray of chest, 2 views | 140 | 139 | $0 |
| 70450 | Ct scan head or brain without contrast | 128 | 127 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 89 | 89 | $0 |
Insurance plans in this area (ZIP 49525)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 71010 | X-ray of chest, 1 view, front | 700 | 465 |
| DIAGNOSTIC RADIOLOGY | MI | 71250 | CT scan chest | 186 | 175 |
| DIAGNOSTIC RADIOLOGY | MI | 73110 | X-ray of wrist, minimum of 3 views | 38 | 35 |
| DIAGNOSTIC RADIOLOGY | MI | 73140 | X-ray of fingers, minimum of 2 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | MI | 73562 | X-ray of knee, 3 views | 21 | 16 |
| DIAGNOSTIC RADIOLOGY | MI | 73630 | X-ray of foot, minimum of 3 views | 89 | 74 |
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 195 | 185 |
| DIAGNOSTIC RADIOLOGY | MI | 76830 | Ultrasound pelvis through vagina | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI |
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