JERRELL INGALLS (MD) – Diagnostic Radiology Physician, NPI 1851517999
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
353 DIAGNOSTIC RADIOLOGY in NV
Provider Addresses for JERRELL INGALLS (MD)
2020 PALOMINO LN
STE 100
LAS VEGAS, NV 891064894
Phone: (702) 759-8600
Fax: (702) 384-1815
Type: Mailing
910 S Scheuber Rd
Centralia, WA 985319027
Phone: (360) 736-0200
Fax: (360) 736-0380
Type: Location
700 Lincoln St Ste 100
Kelso, WA 986261062
Phone: (360) 425-5131
Fax: (360) 425-5509
Type: Location
2020 Palomino Ln
Suite 100
Las Vegas, NV 891064894
Phone: (702) 759-8600
Fax: (702) 384-1815
Type: Location
445 HARLOW RD STE 200
SPRINGFIELD, OR 974771341
Phone: (541) 302-7771
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-07-11
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 |
|---|---|---|---|---|
| I20150713002033 | I | Diagnostic Radiology | OR | TBD |
| I20240711003832 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 2,650 | 32 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,292 | 29 | $0 |
| 77067 | Screening mammography | 1,074 | 664 | $0 |
| 77063 | Screening 3d breast mammography | 1,046 | 637 | $0 |
| 71045 | X-ray of chest, 1 view | 460 | 411 | $0 |
Insurance plans in this area (ZIP 89106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NV | 71010 | X-ray of chest, 1 view, front | 487 | 422 |
| DIAGNOSTIC RADIOLOGY | NV | 71250 | CT scan chest | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | NV | 73110 | X-ray of wrist, minimum of 3 views | 57 | 39 |
| DIAGNOSTIC RADIOLOGY | NV | 73140 | X-ray of fingers, minimum of 2 views | 31 | 24 |
| DIAGNOSTIC RADIOLOGY | NV | 73562 | X-ray of knee, 3 views | 57 | 49 |
| DIAGNOSTIC RADIOLOGY | NV | 73630 | X-ray of foot, minimum of 3 views | 60 | 43 |
| DIAGNOSTIC RADIOLOGY | NV | 74177 | CT scan of abdomen and pelvis with contrast | 129 | 127 |
| DIAGNOSTIC RADIOLOGY | NV | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 51 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PR | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR |
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