ROGER B FENTON (DO) – Diagnostic Radiology Physician, NPI 1780697425
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 ROGER B FENTON (DO)
4996, Champlain Circle, Chambord Villas, Orchard Lake Village, West Bloomfield Township, Oakland County, Michigan, 48323, United States
WEST BLOOMFIELD, MI 48323
Phone:
Type: Mailing
27379, Dequindre Road, Madison Heights, Oakland County, Michigan, 48071, United States
MADISON HEIGHTS, MI 48071
Phone: (248) 398-4488
Fax: (248) 398-4995
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: 2005-07-27
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 |
|---|---|---|---|---|
| I20050727000955 | 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 |
|---|---|---|---|---|
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 234 | 30 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 212 | 208 | $0 |
| 73721 | Mri scan of leg joint without contrast | 181 | 176 | $0 |
| 73221 | Mri scan of arm joint without contrast | 171 | 166 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 68 | 67 | $0 |
Insurance plans in this area (ZIP 48323)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| - | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Sports Medicine, Orthopedic Surgery | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI |
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