JEFFREY RADAKOVICH (MD) – Family Medicine Physician, NPI 1477526580
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JEFFREY RADAKOVICH (MD)
Jack in the Box, 150, Northeast Stadium Way, Pullman, Whitman County, Washington, 99163, United States
PULLMAN, WA 991642302
Phone:
Type: Mailing
Pullman Avenue, Saint Paul Park, Washington County, Minnesota, 55071, United States
WASHINGTON STATE UNIVERSITY
PULLMAN, WA 991640001
Phone: (509) 335-3575
Type: Location
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: 2017-05-05
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 |
|---|---|---|---|---|
| I20170505001394 | I | Family Practice | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,920 | 17 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 466 | 61 | $0 |
| 85610 | Blood test, clotting time | 382 | 55 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 366 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 141 | 74 | $0 |
Insurance plans in this area (ZIP 99164)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| Physician Assistant | NC | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA |
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