MR. ROBERT S DISALLE (MD) – Diagnostic Radiology Physician, NPI 1144213513
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
215 INTERVENTIONAL RADIOLOGY in OH
Provider Addresses for MR. ROBERT S DISALLE (MD)
5757 PARK CENTER CT.
TOLEDO, OH 43615
Phone: (419) 474-4064
Fax: (419) 472-2772
Type: Mailing
3000 Arlington Ave
Toledo, OH 436142595
Phone: (419) 383-3428
Fax: (419) 383-6422
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: 2019-01-29
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 |
|---|---|---|---|---|
| I20100909000455 | I | Diagnostic Radiology | OH | TBD |
| I20190129001021 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 597 | 561 | $0 |
| 71046 | X-ray of chest, 2 views | 373 | 371 | $0 |
| 70450 | Ct scan head or brain without contrast | 270 | 262 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 230 | 227 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 137 | 137 | $0 |
Insurance plans in this area (ZIP 43615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 74177 | CT scan of abdomen and pelvis with contrast | 44 | 44 |
| DIAGNOSTIC RADIOLOGY | OH | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 29 | 29 |
| DIAGNOSTIC RADIOLOGY | OH | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 25 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | OH |
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