DR. RICHARD LICHTENBERG (M.S.) – Diagnostic Radiology Physician, NPI 1962465476
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
342 INTERVENTIONAL RADIOLOGY in IL
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Provider Addresses for DR. RICHARD LICHTENBERG (M.S.)
Evergreen Drive Northeast, Evergreen Lake Condominiums, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259746
Phone: (616) 363-7339
Type: Mailing
Ingalls Memorial Hospital, 1, Ingalls Drive, Harvey, Thornton Township, Cook County, Illinois, 60426, United States
HARVEY, IL 604263558
Phone: (708) 331-7800
Fax: (708) 339-0695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2023-11-09 • Largest payer in this snapshot: Inari Medical, Inc. ($33).
Total Amount
$84
General + Research + Ownership
Payments
3
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $33 |
| Medtronic, Inc. | $29 |
| Boston Scientific Corporation | $23 |
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: 2017-08-21
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 |
|---|---|---|---|---|
| I20050303000647 | I | Diagnostic Radiology | IL | TBD |
| I20170821000197 | I | Interventional 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 412 | 393 | $0 |
| 70450 | Ct scan head or brain without contrast | 112 | 111 | $0 |
| 70553 | Mri scan of brain before and after contrast | 108 | 107 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 81 | 81 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 79 | 79 | $0 |
Insurance plans in this area (ZIP 49525)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI |
Reviews
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