PETER N AGOMUO (M.D) – Diagnostic Radiology Physician, NPI 1245236413

PETER N AGOMUO (M.D) is a healthcare provider. based in Beaumont, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D. They hold a License No. K9206 (TX). The NPI Number for PETER N AGOMUO (M.D) is 1245236413

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
PETER N AGOMUO (M.D)
NPI
1245236413
Phone
Not provided
Address
PO BOX 12553
Enumeration Date
22 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3615750744
Graduation Year
1991 (35 years ago)
PAC ID
5597862664
Group Practice PAC ID
5799765822
Professional Enrollment ID
I20100218000241
Address ID
TX779010000VI506XXANTO400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

551 DIAGNOSTIC RADIOLOGY in LA

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Provider Addresses for PETER N AGOMUO (M.D)

  • PO BOX 12553

    BEAUMONT, TX 777262553

    Phone:

    Type: Mailing

  • Lafayette General Southwest, 2810, Ambassador Caffery Parkway, Lafayette, Lafayette Parish, Louisiana, 70506, United States

    LAFAYETTE, LA 705065906

    Phone: (409) 466-3626

    Fax: (337) 989-6732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Medtronic, Inc. ($52).

Total Amount

$89

General + Research + Ownership

Payments

2

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2010-02-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100218000241IDiagnostic RadiologyTXTBD

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 view2,3421,343$0
71046X-ray of chest, 2 views787693$0
763773d radiographic procedure with computerized image postprocessing523476$0
70450Ct scan head or brain without contrast304280$0
74018X-ray of abdomen, 1 view229167$0
View full utilization report →

Insurance plans in this area (ZIP 77726)

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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: 5799765822View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic Radiology, Interventional RadiologyTX

Reviews

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Frequently asked questions

What is the registry number for PETER N AGOMUO (M.D)?
The registry entry for PETER N AGOMUO (M.D) shows NPI 1245236413.
Quick check: is PETER N AGOMUO (M.D) active?
Public NPPES data shows PETER N AGOMUO (M.D) with an active NPI status right now.
Which specialty label fits PETER N AGOMUO (M.D)?
NPPES ties PETER N AGOMUO (M.D) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PETER N AGOMUO (M.D)?
PETER N AGOMUO (M.D) is associated with Beaumont, Texas in the same public data insurers reference.
Who maintains PETER N AGOMUO (M.D)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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