PATRICK SELF (M.D.) – Vascular & Interventional Radiology Physician, NPI 1225458300
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
164 INTERVENTIONAL RADIOLOGY in WI
Provider Addresses for PATRICK SELF (M.D.)
1836 SOUTH AVE
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $3,483.
Total Amount is formed as General ($3,483) + Research ($0) + Ownership ($0) = $3,483.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Penumbra, Inc. ($1,559).
Total Amount
$3,483
General + Research + Ownership
Payments
40
Total payment records
General Amount
$3,483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $1,559 |
| ShockWave Medical, Inc | $451 |
| Inari Medical, Inc. | $354 |
| W. L. Gore & Associates, Inc. | $336 |
| Bard Peripheral Vascular, Inc. | $280 |
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: 2020-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200909001319 | I | Interventional Radiology | WI | TBD |
| I20200914000834 | I | Interventional Radiology | MN | TBD |
| I20201008001233 | I | Diagnostic Radiology | IA | 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 |
|---|---|---|---|---|
| 93922 | Ultrasound study of arm and leg arteries | 112 | 104 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 111 | 100 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 86 | 83 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 82 | 72 | $0 |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 61 | 33 | $0 |
Insurance plans in this area (ZIP 54601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IA | |
| - | OK | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | WI | |
| General Practice | IA |
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