DR. NICHOLAS LANGE (MD) – Diagnostic Radiology Physician, NPI 1285650952
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. NICHOLAS LANGE (MD)
250 Thompson St.
St. Paul, MN 55102
Phone: (651) 292-2000
Type: Location
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-0000
Type: Location
4th Street East, Downtown, Saint Paul, Ramsey County, Minnesota, 55146, United States
STE. 100
ST. PAUL, MN 551015641
Phone: (651) 292-2000
Type: Mailing
250, Thompson Street, Saint Paul, Ramsey County, Minnesota, 55102, United States
ST. PAUL, MN 55102
Phone: (651) 292-2000
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: 2019-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180612002356 | I | Diagnostic Radiology | CA | TBD |
| I20190724001386 | I | Diagnostic Radiology | MN | TBD |
| I20190819000507 | I | Diagnostic Radiology | WI | TBD |
| I20191023001481 | I | Diagnostic Radiology | ND | 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 | 387 | 377 | $0 |
| 71045 | X-ray of chest, 1 view | 357 | 337 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 240 | 236 | $0 |
| 71250 | Ct scan of chest without contrast | 118 | 118 | $0 |
| 71260 | Ct scan of chest with contrast | 116 | 111 | $0 |
Insurance plans in this area (ZIP 55102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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