DR. KIMBERLY A. ADDIS (M.D.) – Diagnostic Radiology Physician, NPI 1720064652
Diagnostic Radiology 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 DR. KIMBERLY A. ADDIS (M.D.)
259, Westside Highway, Longview, Cowlitz County, Washington, 98626, United States
LONGVIEW, TX 756057668
Phone: (903) 663-7393
Fax: (903) 663-7394
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Becton, Dickinson and Company ($41).
Total Amount
$59
General + Research + Ownership
Payments
3
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $41 |
| Teleflex LLC | $18 |
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: 2005-09-22
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 |
|---|---|---|---|---|
| I20050922000858 | 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 | 528 | 439 | $0 |
| 70450 | Ct scan head or brain without contrast | 94 | 92 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 57 | 55 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 43 | 43 | $0 |
| 72125 | Ct scan of upper spine without contrast | 40 | 39 | $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 | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | LA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Interventional Cardiology, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Interventional Radiology, Diagnostic Radiology | PA |
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