JUSTIN WESLEY MCCOOL (MD) – Vascular & Interventional Radiology Physician, NPI 1700273679

JUSTIN WESLEY MCCOOL (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 25MA11156300 (NJ). The NPI Number for JUSTIN WESLEY MCCOOL (MD) is 1700273679

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN WESLEY MCCOOL (MD)
NPI
1700273679
Phone
(401) 444-2133
Address
593 EDDY ST
Enumeration Date
18 April 2015
Last Update Date
26 January 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8453313131
Graduation Year
2015 (11 years ago)
PAC ID
3274840475
Group Practice PAC ID
3173660776
Professional Enrollment ID
I20220202002223
Address ID
NY124014626KI396XXBROA200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:11State licenses:2Digital endpointsOther names

242 DIAGNOSTIC RADIOLOGY in RI

Provider Addresses for JUSTIN WESLEY MCCOOL (MD)

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-2133

    Fax: (401) 444-5017

    Type: Mailing

  • 130 MARLBOROUGH RD

    BRIARCLIFF MANOR, NY 105102013

    Phone: (630) 715-5253

    Type: Mailing

  • 100 WOODS RD

    VALHALLA, NY 105951530

    Phone: (630) 715-5253

    Type: Location

  • 130 KINDERKAMACK RD STE 200

    RIVER EDGE, NJ 076611931

    Phone: (201) 488-2660

    Type: Mailing

  • 30 PROSPECT AVE RADIOLOGY DEPT

    HACKENSACK, NJ 07601

    Phone: (551) 996-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($147).

Total Amount

$195

General + Research + Ownership

Payments

3

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210708001491IDiagnostic RadiologyNJTBD
I20220202002223IDiagnostic RadiologyNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view375298$0
70450Ct scan head or brain without contrast196174$0
72125Ct scan of upper spine without contrast6666$0
76937Ultrasonic guidance for blood vessel access4741$0
74177Ct scan of abdomen and pelvis with contrast4644$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173660776View full group profile
NameSpecialtyState
-NY
Cardiac Surgery, General Surgery, Surgical Oncology, Thoracic SurgeryNY
-NY
Vascular SurgeryNY
Ophthalmology, PathologyNY
-NY
Nurse PractitionerNY
A N E S T H E S I O L O G YNY
-NY
-NY

Reviews

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Frequently asked questions

Can I use this page to confirm JUSTIN WESLEY MCCOOL (MD)'s NPI?
Yes. JUSTIN WESLEY MCCOOL (MD) is listed with NPI 1700273679 in the public NPI dataset.
Is JUSTIN WESLEY MCCOOL (MD) listed as active for patients and plans?
The listing shows JUSTIN WESLEY MCCOOL (MD) as active in the NPI system.
What is JUSTIN WESLEY MCCOOL (MD)'s specialty?
The listing groups JUSTIN WESLEY MCCOOL (MD) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Does JUSTIN WESLEY MCCOOL (MD) list a practice location?
Patients near Providence, Rhode Island may find JUSTIN WESLEY MCCOOL (MD) in results; validate coverage separately.
Why does JUSTIN WESLEY MCCOOL (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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