DR. HASSAN MASSOUH (M.D.) – Diagnostic Radiology Physician, NPI 1083723969
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
108 DIAGNOSTIC RADIOLOGY in MT
Provider Addresses for DR. HASSAN MASSOUH (M.D.)
582 JACKSON CREEK RD
CLANCY, MT 596349720
Phone: (406) 443-3843
Type: Mailing
400 S Clark St
Butte, MT 597012328
Phone: (406) 461-2953
Fax: (406) 723-2624
Type: Location
1460 G St
Springfield, OR 974774112
Phone: (816) 800-9020
Type: Location
Saint James Healthcare, 400, South Clark Street, Butte, Silver Bow County, Montana, 59701, United States
BUTTE, MT 597012328
Phone: (406) 461-2953
Fax: (406) 723-2624
Type: Location
1501 E 3rd St
Delta, CO 814162815
Phone: (970) 874-7681
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Penumbra, Inc. ($65).
Total Amount
$104
General + Research + Ownership
Payments
2
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $65 |
| Inari Medical, Inc. | $39 |
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20040930000527 | I | Diagnostic Radiology | MT | TBD |
| I20240118002941 | I | Diagnostic Radiology | OR | TBD |
| I20240923001237 | I | Diagnostic Radiology | FL | TBD |
| I20241022003718 | I | Diagnostic Radiology | TX | TBD |
| I20241216000972 | I | Diagnostic Radiology | KS | TBD |
| I20250117001804 | I | Diagnostic Radiology | CO | TBD |
| I20250723003191 | I | Diagnostic Radiology | MO | TBD |
| I20260225000664 | I | Diagnostic Radiology | OH | 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 59634)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MT | 73110 | X-ray of wrist, minimum of 3 views | 42 | 40 |
| DIAGNOSTIC RADIOLOGY | MT | 73562 | X-ray of knee, 3 views | 75 | 64 |
| DIAGNOSTIC RADIOLOGY | MT | 74177 | CT scan of abdomen and pelvis with contrast | 65 | 62 |
| DIAGNOSTIC RADIOLOGY | MT | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 35 | 35 |
| DIAGNOSTIC RADIOLOGY | MT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 53 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Physician Assistant | KS | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Diagnostic Radiology | TX | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Nurse Practitioner | KS | |
| General Surgery | MT | |
| Family Practice | CO | |
| Physician Assistant | KS |
Reviews
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