THOMAS JERRY IBACH (M.D.) – Diagnostic Radiology Physician, NPI 1538116595
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 THOMAS JERRY IBACH (M.D.)
7595 ANAGRAM DR
EDEN PRAIRIE, MN 553447399
Phone: (612) 573-2200
Fax: (612) 573-2274
Type: Mailing
Metro Boulevard, Cahill, Edina, Hennepin County, Minnesota, 55439, United States
EDINA, MN 554393010
Phone: (612) 573-2200
Fax: (612) 573-2274
Type: Mailing
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 $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Dompe US, Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $26 |
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: 2007-09-20
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 |
|---|---|---|---|---|
| I20040315001476 | I | Diagnostic Radiology | MN | TBD |
| I20070920000385 | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,800 | 18 | $0 |
| 71046 | X-ray of chest, 2 views | 628 | 417 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 286 | 164 | $0 |
| 71045 | X-ray of chest, 1 view | 214 | 202 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 199 | 183 | $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 | MN | 20610 | Aspiration and/or injection of large joint or joint capsule | 15 | 12 |
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 135 | 125 |
| DIAGNOSTIC RADIOLOGY | MN | 71250 | CT scan chest | 89 | 87 |
| DIAGNOSTIC RADIOLOGY | MN | 73110 | X-ray of wrist, minimum of 3 views | 25 | 22 |
| DIAGNOSTIC RADIOLOGY | MN | 73562 | X-ray of knee, 3 views | 48 | 28 |
| DIAGNOSTIC RADIOLOGY | MN | 73630 | X-ray of foot, minimum of 3 views | 38 | 23 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 78 | 76 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 35 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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