DAVID A. NUSSBAUM (MD) – Diagnostic Radiology Physician, NPI 1144379041
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,563 DIAGNOSTIC RADIOLOGY in PA
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Provider Addresses for DAVID A. NUSSBAUM (MD)
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
411, Spruce Street, Society Hill, Center City, Philadelphia, Philadelphia County, Pennsylvania, 19106, United States
PHILADELPHIA, PA 191063706
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: HeartFlow, Inc. ($111).
Total Amount
$111
General + Research + Ownership
Payments
1
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HeartFlow, Inc. | $111 |
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: 2013-03-20
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 |
|---|---|---|---|---|
| I20090610000262 | I | Diagnostic Radiology | PA | TBD |
| I20130320000103 | I | Diagnostic Radiology | MD | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 640 | 640 | $0 |
| 71046 | X-ray of chest, 2 views | 528 | 496 | $0 |
| 70450 | Ct scan head or brain without contrast | 358 | 335 | $0 |
| 77067 | Screening mammography | 329 | 329 | $0 |
| 77063 | Screening 3d breast mammography | 329 | 329 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MD | |
| Nurse Practitioner | MD | |
| Internal Medicine, Pediatric Medicine, Hospitalist, Internal Medicine | MD | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | MN | |
| Internal Medicine, Hospitalist | NY | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | DE | |
| Physician Assistant | DE | |
| - | VA | |
| Clinical Social Worker | MD |
Reviews
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