JEFFREY RYAN GOURLEY (M.D.) – Vascular & Interventional Radiology Physician, NPI 1194969204
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for JEFFREY RYAN GOURLEY (M.D.)
110 KINGLEY LANE
SUITE 305
NORFOLK, VA 235054617
Phone: (757) 889-5942
Fax: (757) 889-5450
Type: Location
Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States
NORFOLK, VA 235054617
Phone: (757) 889-5422
Fax: (757) 889-5450
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Canon Medical Systems USA, Inc. ($137).
Total Amount
$137
General + Research + Ownership
Payments
1
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Canon Medical Systems USA, Inc. | $137 |
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: 2011-05-17
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 |
|---|---|---|---|---|
| I20110517000827 | I | Diagnostic Radiology | VA | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 292 | 284 | $0 |
| 70450 | Ct scan head or brain without contrast | 243 | 239 | $0 |
| 71045 | X-ray of chest, 1 view | 227 | 221 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 213 | 208 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 137 | 137 | $0 |
Insurance plans in this area (ZIP 23505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | VA | 71250 | CT scan chest | 67 | 67 |
| DIAGNOSTIC RADIOLOGY | VA | 74177 | CT scan of abdomen and pelvis with contrast | 179 | 179 |
| DIAGNOSTIC RADIOLOGY | VA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 33 | 32 |
| DIAGNOSTIC RADIOLOGY | VA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| - | VA | |
| Diagnostic Radiology | MA | |
| - | VA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology, Interventional Radiology | VA | |
| Interventional Radiology, Diagnostic Radiology | VA |
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