DR. RAVEN DEVINCENZO (M.D.) – Diagnostic Radiology Physician, NPI 1104844117
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,686 DIAGNOSTIC RADIOLOGY in NY
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Provider Addresses for DR. RAVEN DEVINCENZO (M.D.)
Warren Post Office, High Street Northeast, Warren Commercial Historic District, Warren, Trumbull County, Ohio, 44481, United States
WARREN, NJ 070590652
Phone: (718) 226-9175
Fax: (718) 226-8198
Type: Mailing
Staten Island University Hospital, 475, Seaview Avenue, Dongan Hills, Staten Island, New York, 10305, United States
STATEN ISLAND, NY 103053436
Phone: (718) 226-9175
Fax: (718) 226-8198
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.
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: 2009-01-29
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 |
|---|---|---|---|---|
| I20040326000355 | I | Diagnostic Radiology | NY | TBD |
| I20090129000454 | I | Diagnostic Radiology | NJ | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,024 | 1,024 | $0 |
| 77067 | Screening mammography | 1,022 | 1,022 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 955 | 11 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 348 | 345 | $0 |
| 73721 | Mri scan of leg joint without contrast | 159 | 150 | $0 |
Insurance plans in this area (ZIP 07059)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NY | 71010 | X-ray of chest, 1 view, front | 908 | 716 |
| DIAGNOSTIC RADIOLOGY | NY | 73630 | X-ray of foot, minimum of 3 views | 27 | 27 |
| DIAGNOSTIC RADIOLOGY | NY | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 57 | 57 |
| DIAGNOSTIC RADIOLOGY | NY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 86 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| - | FL |
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