BRUNO PASSEBON SOARES (MD) – Pediatric Radiology Physician, NPI 1184851917
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 DIAGNOSTIC RADIOLOGY in VT
Provider Addresses for BRUNO PASSEBON SOARES (MD)
111 Colchester Ave
Main Campus, McClure, Level 1
Burlington, VT 05401
Phone: (802) 847-3593
Type: Location
University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States
MAIN CAMPUS, MCCLURE, LEVEL 1
BURLINGTON, VT 05401
Phone: (802) 847-3593
Type: Mailing
725 WELCH RD
PALO ALTO, CA 943041601
Phone: (650) 497-8000
Type: Mailing
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 $113.
Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: GE HEALTHCARE ($113).
Total Amount
$113
General + Research + Ownership
Payments
2
Total payment records
General Amount
$113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HEALTHCARE | $113 |
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: 2019-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120730000639 | I | Diagnostic Radiology | CA | TBD |
| I20190128001153 | I | Diagnostic Radiology | VT | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 250 | 229 | $0 |
| 70553 | Mri scan of brain before and after contrast | 96 | 93 | $0 |
| 72125 | Ct scan of upper spine without contrast | 77 | 73 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 49 | 49 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 42 | 41 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | CA | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Hematology, Medical Oncology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Neuropsychiatry, Neurology | CA |
Reviews
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