KRISTIAN LOVERIDGE (DO) – Diagnostic Radiology Physician, NPI 1487079778

KRISTIAN LOVERIDGE (DO) is a healthcare provider. based in Walled lake, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 5103024465 (MI). The NPI Number for KRISTIAN LOVERIDGE (DO) is 1487079778

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIAN LOVERIDGE (DO)
NPI
1487079778
Phone
Not provided
Address
995 N PONTIAC TRL UNIT 389
Enumeration Date
24 February 2014
Last Update Date
13 June 2022

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3134731605
Graduation Year
2014 (12 years ago)
PAC ID
7416258306
Group Practice PAC ID
3072875889
Professional Enrollment ID
I20190404000258
Address ID
MI482301507GR468XXRDXX300

Contacts

Secure Messaging
kloveridge3926090@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for KRISTIAN LOVERIDGE (DO)

  • 995 N PONTIAC TRL UNIT 389

    WALLED LAKE, MI 483907015

    Phone:

    Type: Mailing

  • 1 WILLIAM CARLS DR

    COMMERCE TWP, MI 483822201

    Phone: (248) 937-5085

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1848

    Fax: (947) 522-0307

    Type: Mailing

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (248) 898-6509

    Fax: (248) 898-5490

    Type: Location

  • 1 William Carls Dr

    Commerce Twp, MI 483822201

    Phone: (248) 937-5085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $2,017.

Total Amount is formed as General ($2,017) + Research ($0) + Ownership ($0) = $2,017.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Terumo Medical Corporation ($867).

Total Amount

$2,017

General + Research + Ownership

Payments

35

Total payment records

General Amount

$2,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-04-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190404000258IDiagnostic RadiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes190157$0
76937Ultrasonic guidance for blood vessel access7065$0
77001Fluoroscopic guidance for insertion or removal of central vein access device6563$0
49083Drainage of fluid from abdominal cavity using imaging guidance4828$0
76942Ultrasonic guidance for needle placement3333$0
View full utilization report →

Insurance plans in this area (ZIP 48390)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072875889View full group profile

Reviews

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Frequently asked questions

Can I verify KRISTIAN LOVERIDGE (DO) with an NPI only?
You can start verification with NPI 1487079778 for KRISTIAN LOVERIDGE (DO), then check state licensing separately.
Is KRISTIAN LOVERIDGE (DO) listed as active for patients and plans?
The listing shows KRISTIAN LOVERIDGE (DO) as active in the NPI system.
What is KRISTIAN LOVERIDGE (DO)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for KRISTIAN LOVERIDGE (DO) here. Clinical services aligned with this taxonomy classification.
Where is KRISTIAN LOVERIDGE (DO) based?
KRISTIAN LOVERIDGE (DO) is tied to Walled Lake, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about KRISTIAN LOVERIDGE (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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