NIKSA VLASIC (M.D.) – Diagnostic Radiology Physician, NPI 1669449625
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for NIKSA VLASIC (M.D.)
US 41, West Branch Township, Marquette County, Michigan, United States
MARQUETTE, MI 498552252
Phone: (906) 225-3964
Fax: (906) 226-3875
Type: Mailing
Bell Hospital, 901, Lakeshore Drive, Ishpeming, Marquette County, Michigan, 49849, United States
ISHPEMING, MI 498491367
Phone: (906) 486-4431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $925.
Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Penumbra, Inc. ($925).
Total Amount
$925
General + Research + Ownership
Payments
10
Total payment records
General Amount
$925
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $925 |
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: 2013-02-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130204000206 | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 529 | 529 | $0 |
| 77067 | Screening mammography | 528 | 528 | $0 |
| 71046 | X-ray of chest, 2 views | 428 | 395 | $0 |
| 71045 | X-ray of chest, 1 view | 334 | 271 | $0 |
| 70450 | Ct scan head or brain without contrast | 287 | 269 | $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 | 71010 | X-ray of chest, 1 view, front | 173 | 164 |
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 69 | 67 |
| DIAGNOSTIC RADIOLOGY | MI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 84 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Diagnostic Radiology | MI | |
| Nurse Practitioner | MI | |
| Emergency Medicine | MI | |
| Family Practice | MI | |
| - | MI | |
| Family Practice, Emergency Medicine | MI | |
| - | ME | |
| Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease | MI |
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