DR. EDWARD JAN BOK (MD) – Diagnostic Radiology Physician, NPI 1225061732
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
1,218 DIAGNOSTIC RADIOLOGY in MO
Provider Addresses for DR. EDWARD JAN BOK (MD)
3800 S National Ave Ste 400
Springfield, MO 658075272
Phone: (000) 000-0000
Type: Location
PO BOX 60352
SAINT LOUIS, MO 631600352
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Mailing
510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO 631101016
Phone: (314) 362-7200
Fax: (314) 747-4189
Type: Location
Community Hospital, 901, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
MUNSTER, IN 463212901
Phone: (219) 836-4569
Type: Location
3264, North Evergreen Drive Northeast, Evergreen Lake Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259746
Phone: (616) 363-7272
Fax: (616) 363-7290
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: 2024-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100804000452 | I | Diagnostic Radiology | IN | TBD |
| I20140630001516 | I | Diagnostic Radiology | IL | TBD |
| I20230907001326 | I | Diagnostic Radiology | MO | TBD |
| I20240306003141 | I | Diagnostic Radiology | MN | 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 | 3,182 | 1,556 | $0 |
| 70450 | Ct scan head or brain without contrast | 559 | 478 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 354 | 333 | $0 |
| 71046 | X-ray of chest, 2 views | 236 | 223 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 150 | 149 | $0 |
Insurance plans in this area (ZIP 65807)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Diagnostic Radiology | IN | |
| Physician Assistant | IL | |
| Diagnostic Radiology | IN | |
| - | IN | |
| - | IN | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| - | IN | |
| - | IN | |
| - | IN |
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