DR. KURTIS LEE TEDESCO (M.D.) – Diagnostic Radiology Physician, NPI 1396969945
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
Provider Addresses for DR. KURTIS LEE TEDESCO (M.D.)
11995 SINGLETREE LN
SUITE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
7368 E SUMMER SHADE CT
TUCSON, AZ 857501137
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
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: 2025-12-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20090821000079 | I | Diagnostic Radiology | AZ | TBD |
| I20100427000803 | I | Diagnostic Radiology | TX | TBD |
| I20190306003005 | I | Diagnostic Radiology | AK | TBD |
| I20190417000291 | I | Diagnostic Radiology | ME | TBD |
| I20210622000550 | I | Diagnostic Radiology | NH | TBD |
| I20230306002579 | I | Diagnostic Radiology | ND | TBD |
| I20250729000313 | I | Diagnostic Radiology | IL | TBD |
| I20251231000909 | I | Diagnostic Radiology | MN | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 570 | 564 | $0 |
| 71045 | X-ray of chest, 1 view | 365 | 356 | $0 |
| 72125 | Ct scan of upper spine without contrast | 283 | 281 | $0 |
| 71046 | X-ray of chest, 2 views | 134 | 134 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 43 | 43 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | SC | |
| - | SC | |
| - | MN | |
| - | MN | |
| Diagnostic Radiology | NY | |
| - | MN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Nuclear Medicine | CO |
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