RONALD W DIVINE (MD) – Diagnostic Radiology Physician, NPI 1184672024
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RONALD W DIVINE (MD)
1500 Division St
Oregon City, OR 970451527
Phone: (503) 723-6545
Fax: (503) 650-6824
Type: Location
Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States
CORVALLIS, OR 973392156
Phone: (541) 758-5047
Fax: (541) 758-3713
Type: Mailing
North Scottsdale Road, North Scottsdale, Dorset, Tasmania, Australia
SCOTTSDALE, AZ 852515649
Phone: (480) 425-5000
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: 2017-08-01
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 |
|---|---|---|---|---|
| I20170801002900 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 1,057 | 1,035 | $0 |
| 73502 | X-ray of hip, 2-3 views | 396 | 384 | $0 |
| 73562 | X-ray of knee, 3 views | 376 | 309 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 294 | 256 | $0 |
| 73564 | X-ray of knee, 4 or more views | 256 | 182 | $0 |
Insurance plans in this area (ZIP 97045)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | OR | 73562 | X-ray of knee, 3 views | 40 | 36 |
| DIAGNOSTIC RADIOLOGY | OR | 73630 | X-ray of foot, minimum of 3 views | 34 | 32 |
| DIAGNOSTIC RADIOLOGY | OR | 74177 | CT scan of abdomen and pelvis with contrast | 162 | 158 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Diagnostic Radiology | CA | |
| - | AZ | |
| Diagnostic Radiology | TX | |
| - | CA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | IN | |
| - | AZ |
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