MICHAEL CACCAMO (DO) – Diagnostic Radiology Physician, NPI 1053303149
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for MICHAEL CACCAMO (DO)
540, Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States
STE 130
KETTERING, OH 454296401
Phone: (937) 297-6306
Fax: (937) 299-6300
Mailing address matches the actual address.
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: 2004-03-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040303000521 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 52 | 52 | $0 |
| 77063 | Screening 3d breast mammography | 52 | 52 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 24 | 24 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 20 | 20 | $0 |
| 71045 | X-ray of chest, 1 view | 19 | 18 | $0 |
Insurance plans in this area (ZIP 45429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 71010 | X-ray of chest, 1 view, front | 1282 | 1167 |
| DIAGNOSTIC RADIOLOGY | OH | 71250 | CT scan chest | 37 | 36 |
| DIAGNOSTIC RADIOLOGY | OH | 73110 | X-ray of wrist, minimum of 3 views | 42 | 42 |
| DIAGNOSTIC RADIOLOGY | OH | 73630 | X-ray of foot, minimum of 3 views | 109 | 105 |
| DIAGNOSTIC RADIOLOGY | OH | 74177 | CT scan of abdomen and pelvis with contrast | 29 | 29 |
| DIAGNOSTIC RADIOLOGY | OH | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 148 | 147 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | OH | |
| Physician Assistant | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | MI |
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