SUSAN WILLIG FAN (M.D.) – Body Imaging Physician, NPI 1124044995
Body Imaging 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 SUSAN WILLIG FAN (M.D.)
2800, Garth Road, Baytown, Harris County, Texas, 77521, United States
BAYTOWN, TX 775213947
Phone: (281) 427-3700
Type: Location
319, Hawthorne Street, Audobon Place, Montrose, Houston, Harris County, Texas, 77006, United States
HOUSTON, TX 770064007
Phone:
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: 2005-08-11
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 |
|---|---|---|---|---|
| I20050811000390 | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,611 | 47 | $0 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 758 | 46 | $0 |
| 77067 | Screening mammography | 179 | 179 | $0 |
| 71250 | Ct scan of chest without contrast | 54 | 50 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 41 | 40 | $0 |
Insurance plans in this area (ZIP 77521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| P O D I A T R Y | NM | |
| Diagnostic Radiology | OH | |
| - | TX | |
| - | NM | |
| Physician Assistant | NM | |
| - | CO | |
| Diagnostic Radiology | MI | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| - | NM |
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