CYNTHIA JACKSON – Diagnostic Radiology Physician, NPI 1114914124
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for CYNTHIA JACKSON
629D LOWTHER RD
SUITE 3950
LEWISBERRY, PA 173399527
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2004-02-03
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 |
|---|---|---|---|---|
| I20040203000853 | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 642 | 603 | $0 |
| 70450 | Ct scan head or brain without contrast | 326 | 324 | $0 |
| 71046 | X-ray of chest, 2 views | 319 | 316 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 201 | 199 | $0 |
| 71250 | Ct scan of chest without contrast | 179 | 178 | $0 |
Insurance plans in this area (ZIP 17339)
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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 | 506 | 411 |
| DIAGNOSTIC RADIOLOGY | PA | 73110 | X-ray of wrist, minimum of 3 views | 15 | 13 |
| DIAGNOSTIC RADIOLOGY | PA | 73630 | X-ray of foot, minimum of 3 views | 23 | 19 |
| DIAGNOSTIC RADIOLOGY | PA | 74177 | CT scan of abdomen and pelvis with contrast | 83 | 82 |
| DIAGNOSTIC RADIOLOGY | PA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | HI |
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