EDWARD ST VILLE (M.D) – Diagnostic Radiology Physician, NPI 1003838111
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for EDWARD ST VILLE (M.D)
2875 S 171st St
New Berlin, WI 531513511
Phone: (262) 786-3107
Fax: (262) 780-0442
Type: Location
2000 E LAYTON AVE
ST FRANCIS, WI 532356053
Phone: (414) 744-6589
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
2875, South 171st Street, New Berlin Industrial Park, New Berlin, Waukesha County, Wisconsin, 53151, United States
NEW BERLIN, WI 531513511
Phone: (262) 786-3107
Fax: (262) 780-0442
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: 2017-11-20
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 |
|---|---|---|---|---|
| I20040126000498 | I | Diagnostic Radiology | WI | TBD |
| I20171120002536 | I | Diagnostic Radiology | IL | 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 | 3,845 | 41 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 120 | 120 | $0 |
| 76376 | 3d radiographic procedure | 108 | 106 | $0 |
| 70450 | Ct scan head or brain without contrast | 90 | 90 | $0 |
| 71260 | Ct scan of chest with contrast | 76 | 76 | $0 |
Insurance plans in this area (ZIP 53151)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 20610 | Aspiration and/or injection of large joint or joint capsule | 21 | 19 |
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 66 | 66 |
| DIAGNOSTIC RADIOLOGY | WI | 73110 | X-ray of wrist, minimum of 3 views | 20 | 18 |
| DIAGNOSTIC RADIOLOGY | WI | 73562 | X-ray of knee, 3 views | 68 | 58 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 39 | 34 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 103 | 102 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI | |
| E N D O C R I N O L O G Y | IL | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| Family Practice | IL | |
| - | WI |
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