JODY RANDELL CEARLOCK – Diagnostic Radiology Physician, NPI 1245230713

JODY RANDELL CEARLOCK is a healthcare provider. based in Las vegas, Nevada. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 8471 (NV). The NPI Number for JODY RANDELL CEARLOCK is 1245230713

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JODY RANDELL CEARLOCK
NPI
1245230713
Phone
(702) 732-6000
Address
PO BOX 36900
Enumeration Date
27 July 2005
Last Update Date
3 December 2010

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7027326000
Graduation Year
1991 (35 years ago)
PAC ID
0547445280
Group Practice PAC ID
7911897053
Professional Enrollment ID
I20110425000210
Address ID
NV890142016HE4XXXXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

353 DIAGNOSTIC RADIOLOGY in NV

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Provider Addresses for JODY RANDELL CEARLOCK

  • McCarran International Airport, 5757, Wayne Newton Boulevard, Enterprise, Clark County, Nevada, 89154, United States

    LAS VEGAS, NV 891336900

    Phone: (702) 732-6000

    Fax: (702) 243-7531

    Type: Mailing

  • South Maryland Parkway, John S. Park, Five Points, Las Vegas, Clark County, Nevada, 89101, United States

    LAS VEGAS, NV 891092204

    Phone: (702) 732-6000

    Fax: (702) 243-7531

    Type: Location

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 $215.

Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.

Last reported payment date: 2023-04-11 • Largest payer in this snapshot: AngioDynamics, Inc. ($215).

Total Amount

$215

General + Research + Ownership

Payments

2

Total payment records

General Amount

$215

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AngioDynamics, Inc.$215
View all Open Payments →|Open Payments Risk Radar →

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: 2011-04-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110425000210IDiagnostic RadiologyNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml16,947168$0
A9575Injection, gadoterate meglumine, 0.1 ml12,95166$0
77067Screening mammography580580$0
77063Screening 3d breast mammography578578$0
77080Dxa bone density measurement of hip, pelvis, spine179179$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911897053View full group profile
NameSpecialtyState
Diagnostic RadiologyNV
-NV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Interventional Radiology, Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyTX
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV

Reviews

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Frequently asked questions

Does JODY RANDELL CEARLOCK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JODY RANDELL CEARLOCK uses 1245230713.
Is JODY RANDELL CEARLOCK listed as active for patients and plans?
The listing shows JODY RANDELL CEARLOCK as active in the NPI system.
What healthcare role does JODY RANDELL CEARLOCK hold?
Scheduling teams often label JODY RANDELL CEARLOCK under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JODY RANDELL CEARLOCK on a map?
Expect Las Vegas, Nevada as a primary anchor for JODY RANDELL CEARLOCK unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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