JEFFERY RANDALL WHITE (M.D.) – Vascular & Interventional Radiology Physician, NPI 1558564641
Vascular & Interventional 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 JEFFERY RANDALL WHITE (M.D.)
259, Westside Highway, Longview, Cowlitz County, Washington, 98626, United States
LONGVIEW, TX 756057668
Phone: (903) 663-7393
Fax: (903) 663-7394
Type: Mailing
Providence Health Center, 6901, Medical Parkway, Waco, McLennan County, Texas, 76712, United States
RADIOLOGY DEPARTMENT
WACO, TX 767127910
Phone: (254) 751-4299
Fax: (903) 663-7394
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 $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Inari Medical, Inc. ($147).
Total Amount
$170
General + Research + Ownership
Payments
2
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $147 |
| Sirtex Medical Inc | $23 |
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: 2012-07-23
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 |
|---|---|---|---|---|
| I20120723000417 | 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 | 668 | 525 | $0 |
| 70450 | Ct scan head or brain without contrast | 175 | 172 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 138 | 116 | $0 |
| 71046 | X-ray of chest, 2 views | 118 | 113 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 89 | 67 | $0 |
Insurance plans in this area (ZIP 75605)
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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 | 1486 | 1067 |
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 131 | 127 |
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | TX | 73630 | X-ray of foot, minimum of 3 views | 49 | 43 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 133 | 133 |
| DIAGNOSTIC RADIOLOGY | TX | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 62 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | TX |
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