RONALD C. WIEDOWER (MD) – Diagnostic Radiology Physician, NPI 1548226970
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
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Provider Addresses for RONALD C. WIEDOWER (MD)
Saint David's North Austin Medical Center, 12221, North Mopac Expressway, The Centrum, Austin, Travis County, Texas, 78758, United States
AUSTIN, TX 787582415
Phone: (512) 907-8748
Fax: (512) 901-8755
Type: Mailing
1717, Rotary Drive, Humble, Harris County, Texas, 77338, United States
HUMBLE, TX 773385235
Phone: (281) 272-6277
Fax: (281) 272-6281
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.
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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: 2018-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20121218000270 | I | Diagnostic Radiology | TX | TBD |
| I20180910001417 | I | Diagnostic Radiology | OH | TBD |
| I20181011001942 | I | Diagnostic Radiology | IN | TBD |
| I20181031001132 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 74230 | Imaging for evaluation of swallowing function | 795 | 774 | $0 |
| 74240 | Single contrast x-ray of upper digestive tract | 789 | 768 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 789 | 768 | $0 |
| 70100 | X-ray of part of lower jaw, 1-4 views | 691 | 680 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 457 | 457 | $0 |
Insurance plans in this area (ZIP 78758)
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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 | 31 | 30 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MS | |
| Emergency Medicine | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Internal Medicine | WI | |
| Internal Medicine | IN | |
| Internal Medicine | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Pathology, Family Practice | IN | |
| O P H T H A L M O L O G Y | IN | |
| Family Practice, Peripheral Vascular Disease | AZ |
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