JAY ELLWORTH CHAMPLIN (MD) – Diagnostic Radiology Physician, NPI 1407199540
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,563 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for JAY ELLWORTH CHAMPLIN (MD)
5230 CENTRE AVE
PITTSBURGH, PA 152321304
Phone: (412) 623-2465
Type: Location
UW RADIOLOGY DEPT RR 210
1959 N.E. PACIFIC STREET, BOX 357115
SEATTLE, WA 981957115
Phone: (206) 598-6483
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $279.
Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Boston Scientific Corporation ($176).
Total Amount
$279
General + Research + Ownership
Payments
9
Total payment records
General Amount
$279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-07-23
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 |
|---|---|---|---|---|
| I20190723000723 | I | Diagnostic Radiology | NM | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 116 | 116 | $0 |
| 71045 | X-ray of chest, 1 view | 55 | 49 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 42 | 42 | $0 |
| 74174 | Ct scan of blood vessels of abdomen and pelvis with contrast | 34 | 34 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 19 | 19 | $0 |
Insurance plans in this area (ZIP 15232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CT | |
| Interventional Radiology, Diagnostic Radiology | NM | |
| Diagnostic Radiology | WA | |
| Physician Assistant | NM | |
| Diagnostic Radiology | DE | |
| Diagnostic Radiology, Interventional Radiology | NM | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | NM | |
| - | NM | |
| Diagnostic Radiology | MN |
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