DR. IAN A KELLMAN (MD) – Diagnostic Radiology Physician, NPI 1023088382
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for DR. IAN A KELLMAN (MD)
PO BOX 246
DALLAS, PA 18612
Phone: (570) 836-3567
Fax: (570) 836-7443
Type: Mailing
625 HAMPTON RD
SHAVERTON, PA 187089526
Phone: (570) 881-3354
Fax: (570) 696-0174
Type: Mailing
West Harrison Street, Tunkhannock, Wyoming County, Pennsylvania, 18657, United States
TUNKHANNOCK, PA 186576149
Phone: (570) 836-3567
Fax: (570) 836-7443
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: 2015-03-20
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 |
|---|---|---|---|---|
| I20040310000011 | I | Diagnostic Radiology | PA | TBD |
| I20150320000673 | I | Diagnostic Radiology | NY | 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 | 19 | 19 | $0 |
Insurance plans in this area (ZIP 18612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Family Practice, Interventional Radiology, Diagnostic Radiology | NY | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| Diagnostic Radiology | PA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | CT | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | WA |
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