DR. BRUCE J THALER (M.D.) – Diagnostic Radiology Physician, NPI 1477572865
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 DR. BRUCE J THALER (M.D.)
110 S FRONT ST UNIT 800
PHILADELPHIA, PA 191063065
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
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: 2025-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040818000490 | I | Diagnostic Radiology | PA | TBD |
| I20170810001577 | I | Diagnostic Radiology | TX | TBD |
| I20200403000171 | I | Diagnostic Radiology | MO | TBD |
| I20210521001251 | I | Diagnostic Radiology | FL | TBD |
| I20251230001809 | I | Diagnostic Radiology | MN | 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 | 763 | 680 | $0 |
| 71046 | X-ray of chest, 2 views | 411 | 407 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 174 | 151 | $0 |
| 73502 | X-ray of hip, 2-3 views | 158 | 155 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 155 | 155 | $0 |
Insurance plans in this area (ZIP 19106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | SC | |
| - | SC | |
| - | MN | |
| - | MN | |
| Diagnostic Radiology | NY | |
| - | MN | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Nuclear Medicine | CO |
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