JACKSON GEORGE UNTERINER (MD) – Diagnostic Radiology Physician, NPI 1053874776
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for JACKSON GEORGE UNTERINER (MD)
660 S EUCLID AVE, CB 8131
CB 8131
SAINT LOUIS, MO 63110
Phone: (314) 362-5000
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 631101003
Phone: (314) 362-5000
Type: Location
9152 Taylorsville Rd # 276
Louisville, KY 402991752
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Location
1 AUDUBON PLAZA DR
LOUISVILLE, KY 402171318
Phone: (502) 447-8786
Fax: (502) 447-8786
Type: Location
9152 TAYLORSVILLE RD # 276
LOUISVILLE, KY 402991752
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $4,190.
Total Amount is formed as General ($4,190) + Research ($0) + Ownership ($0) = $4,190.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Medtronic, Inc. ($2,764).
Total Amount
$4,190
General + Research + Ownership
Payments
23
Total payment records
General Amount
$4,190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,764 |
| Boston Scientific Corporation | $517 |
| Penumbra, Inc. | $273 |
| Sirtex Medical Inc | $147 |
| AngioDynamics, Inc. | $117 |
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: 2025-04-10
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 |
|---|---|---|---|---|
| I20250409000387 | I | Diagnostic Radiology | KY | TBD |
| I20250410001438 | I | Diagnostic Radiology | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | TN | |
| Interventional Pain Management, Diagnostic Radiology | KY | |
| Diagnostic Radiology, Interventional Radiology | KY | |
| Diagnostic Radiology | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology, Interventional Radiology | KY |
Reviews
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