W CRYSUP SORY (MD) – Diagnostic Radiology Physician, NPI 1003819426
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for W CRYSUP SORY (MD)
12700, Park Central Drive, Dallas, Dallas County, Texas, 75251, United States
STE 430
DALLAS, TX 752511527
Phone: (972) 239-8902
Fax: (972) 661-2551
Type: Location
PO BOX 740608
DALLAS, TX 753740608
Phone: (469) 317-9900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Medtronic, Inc. ($269).
Total Amount
$269
General + Research + Ownership
Payments
15
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $269 |
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: 2003-11-10
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 |
|---|---|---|---|---|
| I20031110000713 | I | Diagnostic Radiology | TX | 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 | 507 | 369 | $0 |
| 70450 | Ct scan head or brain without contrast | 421 | 381 | $0 |
| 72125 | Ct scan of upper spine without contrast | 108 | 107 | $0 |
| 70551 | Mri scan of brain without contrast | 77 | 77 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 77 | 73 | $0 |
Insurance plans in this area (ZIP 75251)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Nuclear Medicine, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| Nurse Practitioner | TX |
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