AMENYEDU P. ADOVOR (D.O.) – Vascular & Interventional Radiology Physician, NPI 1740521327
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
342 INTERVENTIONAL RADIOLOGY in IL
Provider Addresses for AMENYEDU P. ADOVOR (D.O.)
4388 S HEMLOCK AVE
SPRINGFIELD, MO 658101087
Phone: (636) 293-0933
Type: Mailing
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 604611010
Phone: (708) 747-4000
Type: Location
PO BOX 3810
JOPLIN, MO 648033810
Phone: (417) 347-4662
Type: Mailing
1102 W 32ND ST
JOPLIN, MO 648043503
Phone: (417) 347-6611
Type: Location
401 Woodland Hills Blvd
Fort Scott, KS 667018797
Phone: (620) 768-0388
Type: Location
100 N Pine St
Pittsburg, KS 667624756
Phone: (620) 308-7245
Type: Location
1606 N Broadway St
Pittsburg, KS 667623022
Phone: (620) 231-0958
Type: Location
1700 S Tamiami Trl
Sarasota, FL 342393509
Phone: (941) 917-8720
Fax: (941) 917-1875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $327.
Total Amount is formed as General ($327) + Research ($0) + Ownership ($0) = $327.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Galvanize Therapeutics, Inc ($156).
Total Amount
$327
General + Research + Ownership
Payments
4
Total payment records
General Amount
$327
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galvanize Therapeutics, Inc | $156 |
| GE HEALTHCARE | $136 |
| Boston Scientific Corporation | $18 |
| Cook Medical LLC | $16 |
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: 2025-10-21
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 |
|---|---|---|---|---|
| I20190423001777 | I | Diagnostic Radiology | FL | TBD |
| I20230613000583 | I | Diagnostic Radiology | IL | TBD |
| I20230802000877 | I | Interventional Radiology | MO | TBD |
| I20251021003125 | I | Diagnostic Radiology | KS | 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 | 1,044 | 801 | $0 |
| 70450 | Ct scan head or brain without contrast | 307 | 277 | $0 |
| 71046 | X-ray of chest, 2 views | 296 | 289 | $0 |
| 70551 | Mri scan of brain without contrast | 127 | 124 | $0 |
| 72125 | Ct scan of upper spine without contrast | 117 | 110 | $0 |
Insurance plans in this area (ZIP 65810)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | IL | |
| - | OH | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Vascular Surgery, Interventional Radiology | FL |
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