DR. ISMAEL PEREZ MORENO (MD) – Vascular & Interventional Radiology Physician, NPI 1679716278
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
162 INTERVENTIONAL RADIOLOGY in MO
Provider Addresses for DR. ISMAEL PEREZ MORENO (MD)
3635 VISTA AT GRAND
DESLOGE TOWERS, 2ND FLOOR
ST. LOUIS, MO 63110
Phone: (314) 268-5782
Fax: (314) 268-5116
Type: Location
2825 CAPITOL AVE
SACRAMENTO, CA 958166039
Phone: (916) 887-1140
Type: Location
3635 Vista at Grand
Desloge Towers, 2nd Floor
St. Louis, MO 63110
Phone: (314) 268-5782
Fax: (314) 268-5116
Type: Location
1680, Stronsay Court, Folsom, Sacramento County, California, 95630, United States
FOLSOM, CA 956306224
Phone: (916) 501-1472
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $4,313.
Total Amount is formed as General ($4,313) + Research ($0) + Ownership ($0) = $4,313.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Boston Scientific Corporation ($2,686).
Total Amount
$4,313
General + Research + Ownership
Payments
60
Total payment records
General Amount
$4,313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,686 |
| Inari Medical, Inc. | $500 |
| Cook Medical LLC | $405 |
| Shockwave Medical, Inc | $286 |
| Sirtex Medical Inc | $223 |
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: 2012-07-12
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 |
|---|---|---|---|---|
| I20120712000343 | I | Interventional Radiology | CA | 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 | 379 | 322 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 249 | 222 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 92 | 83 | $0 |
| 71046 | X-ray of chest, 2 views | 70 | 68 | $0 |
| 77012 | Review by radiologist of ct guidance for needle placement | 67 | 62 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | MO | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 20 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | WV | |
| Diagnostic Radiology | CA | |
| - | TX | |
| General Surgery | CA | |
| Interventional Radiology, Diagnostic Radiology | IL |
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