DR. JONATHAN MICHAEL FORAL (M.D.) – Diagnostic Radiology Physician, NPI 1477576064
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. JONATHAN MICHAEL FORAL (M.D.)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
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
17040, 10th Avenue Northwest, Innis Arden, Shoreline, King County, Washington, 98177, United States
SHORELINE, WA 981773709
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)
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: 2025-12-24
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 |
|---|---|---|---|---|
| I20040322000363 | I | Diagnostic Radiology | TX | TBD |
| I20060913000254 | I | Diagnostic Radiology | WA | TBD |
| I20251222000170 | I | Diagnostic Radiology | ID | TBD |
| I20251224000333 | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 334 | 327 | $0 |
| 70450 | Ct scan head or brain without contrast | 249 | 244 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 184 | 184 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 151 | 151 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 126 | 124 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 40 | 40 |
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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