MR. JEFFREY WILLIAM CHUDOBA (MD) – Diagnostic Radiology Physician, NPI 1104811322
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
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Provider Addresses for MR. JEFFREY WILLIAM CHUDOBA (MD)
Klamath Falls Post Office, South 7th Street, Klamath Falls, Klamath County, Oregon, 97601, United States
KLAMATH FALLS, OR 976020326
Phone: (541) 205-5652
Fax: (541) 205-3974
Type: Mailing
2900, Daggett Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States
KLAMATH FALLS, OR 976017101
Phone: (541) 205-3974
Fax: (541) 205-5652
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: 2026-01-27
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 |
|---|---|---|---|---|
| I20050413000252 | I | Diagnostic Radiology | OR | TBD |
| I20260127002623 | I | Diagnostic Radiology | FL | 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 | 972 | 972 | $0 |
| 77063 | Screening 3d breast mammography | 971 | 971 | $0 |
| 71045 | X-ray of chest, 1 view | 645 | 494 | $0 |
| 71046 | X-ray of chest, 2 views | 399 | 360 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 294 | 294 | $0 |
Insurance plans in this area (ZIP 97602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 82 | 81 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 42 | 37 |
| DIAGNOSTIC RADIOLOGY | OR | 73562 | X-ray of knee, 3 views | 73 | 67 |
| DIAGNOSTIC RADIOLOGY | OR | 76830 | Ultrasound pelvis through vagina | 38 | 38 |
| DIAGNOSTIC RADIOLOGY | OR | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 16 | 14 |
| DIAGNOSTIC RADIOLOGY | OR | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 36 | 36 |
| DIAGNOSTIC RADIOLOGY | OR | 93922 | Ultrasound study of arteries of both arms and legs | 40 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Neurology, Neuropsychiatry | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OR |
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