DR. JONATHAN GUSDORFF (D.O.) – Diagnostic Radiology Physician, NPI 1891792255
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
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Provider Addresses for DR. JONATHAN GUSDORFF (D.O.)
Applebee's, 1305, West Chester Pike, West Gate Hills, Haverford Township, Delaware County, Pennsylvania, 19083, United States
HAVERTOWN, PA 190832929
Phone: (610) 482-4949
Fax: (610) 482-4950
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.
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: 2019-12-09
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 |
|---|---|---|---|---|
| I20191209001488 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 70553 | Mri scan of brain before and after contrast | 252 | 240 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 203 | 202 | $0 |
| 70450 | Ct scan head or brain without contrast | 179 | 178 | $0 |
| 70551 | Mri scan of brain without contrast | 111 | 109 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 99 | 99 | $0 |
Insurance plans in this area (ZIP 19083)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 74177 | CT scan of abdomen and pelvis with contrast | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | NY | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IN | |
| - | MN | |
| Diagnostic Radiology | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN |
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