DAVID ROSE – Diagnostic Radiology Physician, NPI 1194973735
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for DAVID ROSE
1700 Old Gatesburg Rd Ste 100
State College, PA 168032276
Phone: (814) 278-3280
Fax: (814) 231-7098
Type: Location
1800 E Park Ave
State College, PA 168036701
Phone: (814) 231-7000
Fax: (814) 231-7098
Type: Location
4105, Walnut Road, Temple, Bell County, Texas, 76502, United States
TEMPLE, TX 765022928
Phone:
Type: Mailing
2636 MANOR DR
HOLLIDAYSBURG, PA 166482986
Phone: (814) 317-7707
Type: Mailing
620 HOWARD AVE
ALTOONA, PA 166014804
Phone: (254) 742-4507
Type: Location
Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States
TEMPLE, TX 765080001
Phone: (254) 742-4507
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: 2011-06-21
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 |
|---|---|---|---|---|
| I20110621000518 | 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 | 1,281 | 913 | $0 |
| 77063 | Screening 3d breast mammography | 720 | 720 | $0 |
| 77067 | Screening mammography | 717 | 717 | $0 |
| 71046 | X-ray of chest, 2 views | 672 | 616 | $0 |
| 73562 | X-ray of knee, 3 views | 343 | 268 | $0 |
Insurance plans in this area (ZIP 16803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 84 | 72 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 93 | 92 |
| DIAGNOSTIC RADIOLOGY | TX | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | VA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA |
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