KELECHI PRINCEWILL – Diagnostic Radiology Physician, NPI 1669675286
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,577 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for KELECHI PRINCEWILL
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)
No Open Payments data available for this provider.
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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: 2025-01-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130520000408 | I | Diagnostic Radiology | PA | TBD |
| I20180814000041 | I | Diagnostic Radiology | MD | TBD |
| I20210312000694 | I | Diagnostic Radiology | IN | TBD |
| I20250129000316 | I | Diagnostic Radiology | DC | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 317 | 311 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 199 | 193 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 196 | 196 | $0 |
| 70450 | Ct scan head or brain without contrast | 184 | 182 | $0 |
| 71045 | X-ray of chest, 1 view | 134 | 133 | $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 | 704 | 610 |
| DIAGNOSTIC RADIOLOGY | PA | 71250 | CT scan chest | 55 | 55 |
| DIAGNOSTIC RADIOLOGY | PA | 73630 | X-ray of foot, minimum of 3 views | 36 | 33 |
| DIAGNOSTIC RADIOLOGY | PA | 74177 | CT scan of abdomen and pelvis with contrast | 77 | 77 |
| DIAGNOSTIC RADIOLOGY | PA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MD | |
| - | MD | |
| Orthopedic Surgery | MD | |
| N E U R O L O G Y | IL | |
| Diagnostic Radiology | MD | |
| - | MD | |
| Nurse Practitioner | FL | |
| General Surgery | ME | |
| Anesthesiology, Critical Care (Intensivists) | SD | |
| N E U R O L O G Y | MD |
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