CLARENCE COOLIDGE JR. COLEMAN (M.D.) – Diagnostic Radiology Physician, NPI 1528058096

CLARENCE COOLIDGE JR. COLEMAN (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME133075 (FL). The NPI Number for CLARENCE COOLIDGE JR. COLEMAN (M.D.) is 1528058096

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
CLARENCE COOLIDGE JR. COLEMAN (M.D.)
NPI
1528058096
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
26 October 2005
Last Update Date
6 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
7047655833
Graduation Year
1994 (32 years ago)
PAC ID
2264491828
Group Practice PAC ID
2961416946
Professional Enrollment ID
I20160106000879
Address ID
NC280316252CO21224DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for CLARENCE COOLIDGE JR. COLEMAN (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) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 340-3911

    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: 2025-10-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051031000675IDiagnostic RadiologyCATBD
I20160106000879IDiagnostic RadiologyNCTBD
I20170714002216IDiagnostic RadiologyMOTBD
I20170921001406IDiagnostic RadiologyMTTBD
I20190405001834IDiagnostic RadiologyMETBD
I20200108003144IDiagnostic RadiologySCTBD
I20210712003460IDiagnostic RadiologyORTBD
I20251013002168IDiagnostic RadiologyIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast403395$0
72125Ct scan of upper spine without contrast180179$0
70498Ct scan of blood vessels of neck with contrast9292$0
70496Ct scan of blood vessels of head with contrast8888$0
71045X-ray of chest, 1 view7979$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

CLARENCE COOLIDGE JR. COLEMAN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNC71010X-ray of chest, 1 view, front826673
DIAGNOSTIC RADIOLOGYNC73562X-ray of knee, 3 views3433
DIAGNOSTIC RADIOLOGYNC73630X-ray of foot, minimum of 3 views1818
DIAGNOSTIC RADIOLOGYNC74177CT scan of abdomen and pelvis with contrast9088
DIAGNOSTIC RADIOLOGYNC93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3837

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961416946View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-MN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Internal Medicine, Diagnostic RadiologyPA
Diagnostic RadiologyWV

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Frequently asked questions

What number should I use to identify CLARENCE COOLIDGE JR. COLEMAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1528058096 for CLARENCE COOLIDGE JR. COLEMAN (M.D.).
Should I treat CLARENCE COOLIDGE JR. COLEMAN (M.D.) as an active provider?
Patients and plans typically see CLARENCE COOLIDGE JR. COLEMAN (M.D.) as active in the national extract.
How should patients interpret CLARENCE COOLIDGE JR. COLEMAN (M.D.)'s specialty?
The extract shows Diagnostic Radiology Physician for CLARENCE COOLIDGE JR. COLEMAN (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit CLARENCE COOLIDGE JR. COLEMAN (M.D.) in Eden Prairie, Minnesota?
For routing, start with Eden Prairie, Minnesota for CLARENCE COOLIDGE JR. COLEMAN (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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