DR. JEREMY MICHAEL BAUM (M.D.) – Diagnostic Radiology Physician, NPI 1053589549
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 DIAGNOSTIC RADIOLOGY in NE
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Provider Addresses for DR. JEREMY MICHAEL BAUM (M.D.)
Edward Street, DeBarr Vista, Anchorage, Alaska, 99521, United States
LA VISTA, NE 681282500
Phone: (402) 614-3452
Type: Mailing
Revival Tabernacle Church, 11111, South Washington Street, Papillion, Sarpy County, Nebraska, 68046, United States
SUITE 2476
PAPILLION, NE 680464122
Phone: (402) 339-8974
Fax: (402) 339-6741
Type: Location
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.
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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: 2008-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080527000495 | I | Diagnostic Radiology | IA | TBD |
| I20080618000799 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 682 | 682 | $0 |
| 77063 | Screening 3d breast mammography | 673 | 673 | $0 |
| 71045 | X-ray of chest, 1 view | 600 | 559 | $0 |
| 71046 | X-ray of chest, 2 views | 272 | 267 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 233 | 232 | $0 |
Insurance plans in this area (ZIP 68128)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NE | 71010 | X-ray of chest, 1 view, front | 790 | 609 |
| DIAGNOSTIC RADIOLOGY | NE | 71250 | CT scan chest | 85 | 84 |
| DIAGNOSTIC RADIOLOGY | NE | 73630 | X-ray of foot, minimum of 3 views | 90 | 84 |
| DIAGNOSTIC RADIOLOGY | NE | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NE | |
| - | NE | |
| Nuclear Medicine | IA | |
| - | NE | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CO |
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