IAN BRECKENRIDGE (M.D.) – Diagnostic Radiology Physician, NPI 1912341819
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for IAN BRECKENRIDGE (M.D.)
9040 FITZSIMMONS DR
JOINT BASE LEWIS MCCHORD, WA 984311000
Phone:
Type: Mailing
A.T. AUGUSTA MILITARY MEDICAL CENTER
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Phone:
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: 2022-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210616000848 | I | Diagnostic Radiology | MD | TBD |
| I20220420003249 | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 115 | 111 | $0 |
| 70450 | Ct scan head or brain without contrast | 97 | 96 | $0 |
| 71046 | X-ray of chest, 2 views | 33 | 32 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 27 | 27 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 26 | 26 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | MD | |
| A N E S T H E S I O L O G Y | NY | |
| - | MD | |
| - | FL | |
| - | MD | |
| Diagnostic Radiology | IL | |
| General Surgery | MD | |
| Internal Medicine, Hospitalist | MD |
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