JANE C PRIMM (M.D.) – Diagnostic Radiology Physician, NPI 1467499053
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
106 DIAGNOSTIC RADIOLOGY in VT
Provider Addresses for JANE C PRIMM (M.D.)
PO BOX 747
SHELBURNE, VT 054820747
Phone: (802) 847-8414
Type: Mailing
111 COLCHESTER AVE, ACC-2ND FL
FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 054011473
Phone: (802) 847-8414
Type: Location
840 E HILL AVE
MOSES LAKE, WA 988372238
Phone: (509) 663-8711
Type: Location
820 N CHELAN AVE
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
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: 2012-03-12
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 |
|---|---|---|---|---|
| I20120312000732 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 378 | 371 | $0 |
| 77067 | Screening mammography | 377 | 370 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 118 | 116 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 93 | 86 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 92 | 89 | $0 |
Insurance plans in this area (ZIP 05482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NH | |
| Nurse Practitioner | NH | |
| - | NH | |
| P S Y C H I A T R Y | MA | |
| Orthopedic Surgery | NH | |
| Hospitalist, Internal Medicine, Pediatric Medicine | MI | |
| P S Y C H I A T R Y | NH | |
| - | NH | |
| - | NH | |
| Vascular Surgery | MA |
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