TIMOTHY DAVID KADLECEK (DO) – Diagnostic Radiology Physician, NPI 1538229315
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
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Provider Addresses for TIMOTHY DAVID KADLECEK (DO)
C, 6464, Southwest Borland Road, Tualatin, Clackamas County, Oregon, 97062, United States
SUITE A4
TUALATIN, OR 970628854
Phone: (503) 692-5737
Fax: (503) 692-5307
Type: Mailing
Southwest 65th & Borland, Southwest 65th Avenue, Nyberg, Tualatin, Clackamas County, Oregon, 97062, United States
LEGACY MERIDIAN PARK HOSPITAL
TUALATIN, OR 970628854
Phone: (503) 692-5737
Fax: (503) 692-5307
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: 2004-04-05
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 |
|---|---|---|---|---|
| I20040405000710 | I | Diagnostic Radiology | OR | 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 | 581 | 581 | $0 |
| 77063 | Screening 3d breast mammography | 560 | 560 | $0 |
| 71045 | X-ray of chest, 1 view | 192 | 177 | $0 |
| 70450 | Ct scan head or brain without contrast | 99 | 98 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 76 | 76 | $0 |
Insurance plans in this area (ZIP 97062)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 33 | 33 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | OR | 73562 | X-ray of knee, 3 views | 15 | 14 |
| DIAGNOSTIC RADIOLOGY | OR | 73630 | X-ray of foot, minimum of 3 views | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | OR | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | VA | |
| Physician Assistant | AZ | |
| Diagnostic Radiology | MA |
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