DR. MICHAEL D. BAZZANI (M.D.) – Diagnostic Radiology Physician, NPI 1013118702
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
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Provider Addresses for DR. MICHAEL D. BAZZANI (M.D.)
11475 OLDE CABIN RD STE 200
SAINT LOUIS, MO 631417129
Phone: (314) 991-8200
Fax: (314) 569-1787
Type: Mailing
SSM Health Saint Louis University Hospital, 3635, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631102539
Phone: (314) 577-8022
Type: Mailing
10010 KENNERLY RD
SAINT LOUIS, MO 631282106
Phone: (314) 525-1165
Fax: (314) 525-1485
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: 2020-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200603001583 | I | Diagnostic Radiology | MO | 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 | 932 | 719 | $0 |
| 70450 | Ct scan head or brain without contrast | 353 | 333 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 259 | 248 | $0 |
| 71046 | X-ray of chest, 2 views | 235 | 231 | $0 |
| 74018 | X-ray of abdomen, 1 view | 194 | 148 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TN | 74177 | CT scan of abdomen and pelvis with contrast | 94 | 88 |
| DIAGNOSTIC RADIOLOGY | TN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | TN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 51 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | MO | |
| Radiation Oncology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO | |
| Interventional Radiology, Diagnostic Radiology | MO |
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