DR. CARL RYDELL JENSON (MD) – Radiation Oncology Physician, NPI 1659317097
Radiation Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
158 RADIATION ONCOLOGY in MO
Provider Addresses for DR. CARL RYDELL JENSON (MD)
3100 Oak Grove Rd
Poplar Bluff, MO 639011573
Phone: (573) 776-2600
Type: Location
6950, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
SUITE 200
EDINA, MN 554352025
Phone: (952) 920-4915
Fax: (952) 915-6098
Type: Mailing
Poplar Bluff Regional Medical Center, 3100, Oak Grove Road, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639011573
Phone: (573) 776-2600
Type: Location
1775 THOMPSON RD
COOS BAY, OR 974202198
Phone: (541) 269-8111
Fax: (541) 269-8517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $1,051.
Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($125).
Total Amount
$1,051
General + Research + Ownership
Payments
35
Total payment records
General Amount
$1,051
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-11-18
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 |
|---|---|---|---|---|
| I20040423000244 | I | Radiation Oncology | OR | TBD |
| I20140630001991 | I | Radiation Oncology | MO | TBD |
| I20241112002245 | I | Radiation Oncology | WY | TBD |
| I20251118000999 | I | Radiation Oncology | HI | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 728 | 70 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 372 | 46 | $0 |
| 77300 | Calculation of radiation therapy dose | 219 | 73 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 200 | 78 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 173 | 71 | $0 |
Insurance plans in this area (ZIP 63901)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.