GUSTAVO M PADRON (MD) – Diagnostic Radiology Physician, NPI 1417911090
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for GUSTAVO M PADRON (MD)
6901 Medical Center Dr STE 100
Orange, TX 776301410
Phone: (409) 792-6500
Fax: (985) 646-0750
Type: Location
1275 Marvin Hancock Dr
Jasper, TX 759514935
Phone: (409) 384-5461
Fax: (985) 646-0750
Type: Location
PO BOX 2409
INDIANAPOLIS, IN 462062409
Phone: (800) 550-5606
Fax: (985) 646-0750
Type: Mailing
755 N 11TH ST
BEAUMONT, TX 777021500
Phone: (409) 899-7500
Fax: (985) 646-0750
Type: Location
8801 9th Ave
Port Arthur, TX 776428013
Phone: (409) 724-3600
Fax: (985) 646-0750
Type: Location
3650 Laurel St
Beaumont, TX 777022216
Phone: (409) 838-0346
Fax: (985) 646-0750
Type: Location
2555 Jimmy Johnson Blvd
Port Arthur, TX 77643
Phone: (409) 853-5863
Type: Location
709 Little Jeff Dr
Port Neches, TX 776514822
Phone: (409) 892-7171
Fax: (985) 646-0750
Type: Location
2830 Calder Street
Beaumont, TX 777021809
Phone: (409) 892-7171
Fax: (985) 646-0750
Type: Location
Greenville Post Office, 600, West Washington Street, Downtown, Greenville, Greenville County, South Carolina, 29602, United States
GREENVILLE, TX 75403
Phone: (800) 945-2455
Fax: (903) 453-2541
Type: Mailing
The Medical Center of Southeast Texas, 2555, Jimmy Johnson Boulevard, Port Arthur, Jefferson County, Texas, 77640, United States
PORT ARTHUR, TX 77643
Phone: (409) 853-5863
Type: Location
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: 2004-10-13
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 |
|---|---|---|---|---|
| I20041013000512 | 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 | 621 | 446 | $0 |
| 71046 | X-ray of chest, 2 views | 237 | 233 | $0 |
| 70450 | Ct scan head or brain without contrast | 177 | 171 | $0 |
| 73562 | X-ray of knee, 3 views | 113 | 87 | $0 |
| 76700 | Complete ultrasound scan of abdomen | 110 | 109 | $0 |
Insurance plans in this area (ZIP 77630)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 43 | 41 |
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 43 | 40 |
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 33 | 31 |
| DIAGNOSTIC RADIOLOGY | TX | 73630 | X-ray of foot, minimum of 3 views | 33 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX | |
| - | TX |
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