DR. ETHELBERT M LARA (M.D.) – Diagnostic Radiology Physician, NPI 1437232022
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for DR. ETHELBERT M LARA (M.D.)
710, Chippewa Square, Marquette, Marquette County, Michigan, 49855, United States
SUITE 101
MARQUETTE, MI 498554821
Phone: (906) 225-0122
Fax: (906) 225-0135
Type: Mailing
Aspirus Keweenaw Hospital, 205, Osceola Street, Laurium, Calumet Township, Houghton County, Michigan, 49913, United States
LAURIUM, MI 499132134
Phone: (906) 225-0122
Fax: (906) 225-0135
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: 2025-08-04
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 |
|---|---|---|---|---|
| I20220531000585 | I | Diagnostic Radiology | FL | TBD |
| I20250804000620 | I | Diagnostic Radiology | NM | 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 |
|---|---|---|---|---|
| 74018 | X-ray of abdomen, 1 view | 731 | 530 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 260 | 255 | $0 |
| 76700 | Complete ultrasound scan of abdomen | 180 | 171 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 174 | 173 | $0 |
| 74230 | Imaging for evaluation of swallowing function | 168 | 163 | $0 |
Insurance plans in this area (ZIP 49855)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 62311 | Injections of substances into lower or sacral spine | 29 | 28 |
| DIAGNOSTIC RADIOLOGY | MI | 71010 | X-ray of chest, 1 view, front | 170 | 135 |
| DIAGNOSTIC RADIOLOGY | MI | 71250 | CT scan chest | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | MI | 73110 | X-ray of wrist, minimum of 3 views | 27 | 23 |
| DIAGNOSTIC RADIOLOGY | MI | 73630 | X-ray of foot, minimum of 3 views | 42 | 35 |
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 56 | 56 |
| DIAGNOSTIC RADIOLOGY | MI | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 30 | 29 |
| DIAGNOSTIC RADIOLOGY | MI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Nuclear Medicine | OH | |
| Diagnostic Radiology, Interventional Radiology | KY | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Interventional Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | OK | |
| Diagnostic Radiology | WA |
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