DR. WILLIS CLEMENT CHUNG (M.D.) – Neuroradiology Physician, NPI 1659357804
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,803 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for DR. WILLIS CLEMENT CHUNG (M.D.)
Consulting Radiologists, Ltd, 7505, Metro Boulevard, Cahill, Edina, Hennepin County, Minnesota, 55439, United States
STE 400
EDINA, MN 554393010
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: Location
3401 W Gore Blvd
Lawton, OK 735056332
Phone: (580) 355-8699
Type: Location
5025 Hummingbird Ln
Plano, TX 750937527
Phone: (970) 381-7888
Type: Location
7595 ANAGRAM DR
EDEN PRAIRIE, MN 553447399
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)
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: 2024-09-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20130404000543 | I | Diagnostic Radiology | TX | TBD |
| I20221111001026 | I | Diagnostic Radiology | FL | TBD |
| I20230825000858 | I | Diagnostic Radiology | OH | TBD |
| I20240125003853 | I | Diagnostic Radiology | ND | TBD |
| I20240924002861 | I | Diagnostic Radiology | PA | 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 | 227 | 216 | $0 |
| 71046 | X-ray of chest, 2 views | 175 | 169 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 156 | 154 | $0 |
| 70450 | Ct scan head or brain without contrast | 134 | 132 | $0 |
| 71260 | Ct scan of chest with contrast | 125 | 124 | $0 |
Insurance plans in this area (ZIP 55439)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OK | 71250 | CT scan chest | 38 | 37 |
| DIAGNOSTIC RADIOLOGY | OK | 73630 | X-ray of foot, minimum of 3 views | 63 | 58 |
| DIAGNOSTIC RADIOLOGY | OK | 74177 | CT scan of abdomen and pelvis with contrast | 189 | 182 |
| DIAGNOSTIC RADIOLOGY | OK | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 45 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| - | NC | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | MN | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | MI |
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