GRACE Y RATHFON (MD) – Diagnostic Radiology Physician, NPI 1043257264
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 GRACE Y RATHFON (MD)
320 E NORTH AVE
PITTSBURGH, PA 152124756
Phone: (412) 359-2459
Type: Mailing
200 Lothrop St
Pittsburgh, PA 152132546
Phone: (412) 647-3553
Fax: (412) 647-0878
Type: Location
UPMC Presbyterian Hospital, 200, Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States
PITTSBURGH, PA 152132546
Phone: (412) 647-3553
Fax: (412) 647-0878
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($51).
Total Amount
$73
General + Research + Ownership
Payments
3
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $51 |
| MorphoSys, US Inc. | $22 |
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: 2006-07-10
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 |
|---|---|---|---|---|
| I20060710000095 | I | Diagnostic Radiology | PA | 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 | 852 | 852 | $0 |
| 77063 | Screening 3d breast mammography | 762 | 762 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 259 | 237 | $0 |
| 77085 | Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment | 181 | 181 | $0 |
| 77066 | Diagnostic mammography of both breasts | 169 | 167 | $0 |
Insurance plans in this area (ZIP 15212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 71010 | X-ray of chest, 1 view, front | 157 | 122 |
| DIAGNOSTIC RADIOLOGY | PA | 71250 | CT scan chest | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | PA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 16 | 14 |
| DIAGNOSTIC RADIOLOGY | PA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Physician Assistant | PA |
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