LARA N MRAK (MD) – Diagnostic Radiology Physician, NPI 1063832608
Diagnostic Radiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,102 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for LARA N MRAK (MD)
3301 W FOREST HOME AVE
MILWAUKEE, WI 532152843
Phone: (414) 389-2131
Type: Mailing
W231N1440 Corporate Ct
Waukesha, WI 531861303
Phone: (262) 896-6000
Type: Location
600 Highland Ave
H4/831
Madison, WI 537920001
Phone: (608) 263-7540
Type: Location
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
1032 E SUMNER ST
HARTFORD, WI 530271608
Phone: (262) 673-2300
Type: Location
W231N1440 CORPORATE CT
WAUKESHA, WI 531861303
Phone: (262) 896-6000
Type: Location
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 $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Balt USA, LLC ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Balt USA, LLC | $29 |
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: 2018-07-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20180727001506 | I | Diagnostic Radiology | WI | 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 |
|---|---|---|---|---|
| 76770 | Complete ultrasound scan behind abdominal cavity | 92 | 92 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 88 | 83 | $0 |
| 76705 | Limited ultrasound scan of abdomen | 74 | 74 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 49 | 45 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 38 | 38 | $0 |
Insurance plans in this area (ZIP 53215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Family Practice | WI | |
| - | OH |
Reviews
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