DR. SCOTT DAVID KLIOZE (M.D.) – Body Imaging Physician, NPI 1073557518
Body Imaging Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 INTERVENTIONAL RADIOLOGY in VA
Provider Addresses for DR. SCOTT DAVID KLIOZE (M.D.)
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (703) 523-1199
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-8420
Type: Location
400 Health Park Blvd
St Augustine, FL 320865784
Phone: (904) 819-5155
Type: Location
1673, Mason Avenue, Daytona Beach, Volusia County, Florida, 32117, United States
SUITE# 305
DAYTONA BEACH, FL 321175515
Phone: (386) 274-7118
Fax: (386) 274-6173
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $5,758.
Total Amount is formed as General ($5,758) + Research ($0) + Ownership ($0) = $5,758.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Penumbra, Inc. ($5,228).
Total Amount
$5,758
General + Research + Ownership
Payments
45
Total payment records
General Amount
$5,758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $5,228 |
| Medtronic, Inc. | $176 |
| ARGON MEDICAL DEVICES, INC. | $109 |
| Siemens Medical Solutions USA, Inc. | $56 |
| SpringWorks Therapeutics, Inc. | $37 |
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: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040525001644 | I | Interventional Radiology | FL | TBD |
| I20210602002438 | I | Interventional Radiology | VI | TBD |
| I20251103003909 | I | Diagnostic Radiology | GA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,875 | 131 | $0 |
| 71045 | X-ray of chest, 1 view | 194 | 181 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 104 | 104 | $0 |
| 70450 | Ct scan head or brain without contrast | 81 | 81 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 53 | 53 | $0 |
Insurance plans in this area (ZIP 22191)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL RADIOLOGY | FL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 12 | 12 |
| INTERVENTIONAL RADIOLOGY | FL | 71250 | CT scan chest | 11 | 11 |
| INTERVENTIONAL RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 15 | 14 |
| INTERVENTIONAL RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 26 | 26 |
| INTERVENTIONAL RADIOLOGY | FL | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 13 | 13 |
| INTERVENTIONAL RADIOLOGY | FL | 93922 | Ultrasound study of arteries of both arms and legs | 30 | 30 |
| INTERVENTIONAL RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | TN | |
| Physician Assistant | FL | |
| - | FL | |
| Diagnostic Radiology, Interventional Radiology | FL | |
| - | FL | |
| - | FL | |
| Diagnostic Radiology | GA |
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