DR. CASEY RAY MEDINA (MD) – Diagnostic Radiology Physician, NPI 1609304070

DR. CASEY RAY MEDINA (MD) is a healthcare provider. based in Mount vernon, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD61282818 (WA). The NPI Number for DR. CASEY RAY MEDINA (MD) is 1609304070

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY RAY MEDINA (MD)
NPI
1609304070
Phone
(360) 424-6161
Address
125 N 18TH ST STE C
Enumeration Date
31 May 2017
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
3604246161
Graduation Year
2017 (9 years ago)
PAC ID
1153743992
Group Practice PAC ID
7214005099
Professional Enrollment ID
I20230427001090
Address ID
WA983682443PO834XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. CASEY RAY MEDINA (MD)

  • 125 N 18TH ST STE C

    MOUNT VERNON, WA 982733902

    Phone: (360) 424-6161

    Type: Location

  • 1 Baylor Plz

    Houston, TX 770303411

    Phone: (253) 230-2066

    Type: Location

  • 8100 CAMBRIDGE ST APT 131

    HOUSTON, TX 770543164

    Phone: (253) 230-2066

    Type: Mailing

  • Baylor College of Medicine, 1, Baylor Plaza, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770303411

    Phone: (253) 230-2066

    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: 2023-05-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230427001090IDiagnostic RadiologyWATBD
I20230512001639IDiagnostic RadiologyAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view338310$0
71046X-ray of chest, 2 views187185$0
73562X-ray of knee, 3 views151117$0
72148Mri scan of lower spinal canal without contrast146139$0
70450Ct scan head or brain without contrast135133$0
View full utilization report →

Insurance plans in this area (ZIP 98273)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214005099View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWA
Diagnostic RadiologyAK
Diagnostic Radiology, Nuclear MedicineOR
Diagnostic RadiologyIN
Diagnostic RadiologyVA
Diagnostic RadiologyOR
-AK
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyWA

Reviews

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Frequently asked questions

Does DR. CASEY RAY MEDINA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CASEY RAY MEDINA (MD) uses 1609304070.
Does the file indicate DR. CASEY RAY MEDINA (MD) is practicing under active NPI?
Directory data currently reports DR. CASEY RAY MEDINA (MD) as active.
What is DR. CASEY RAY MEDINA (MD)'s specialty?
The listing groups DR. CASEY RAY MEDINA (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CASEY RAY MEDINA (MD)?
DR. CASEY RAY MEDINA (MD)'s geographic hint is Mount Vernon, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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