JAMES ALFRED PELLEGRINI (M.D.) – Diagnostic Radiology Physician, NPI 1457375016
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
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Provider Addresses for JAMES ALFRED PELLEGRINI (M.D.)
117, Mitchell Hill Road, Appleton, Knox County, Maine, 04862, United States
APPLETON, WI 549120117
Phone: (920) 739-5642
Fax: (920) 968-0259
Type: Mailing
424, East Wisconsin Avenue, Erb Park, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549114860
Phone: (920) 739-5642
Fax: (920) 968-0259
Type: Location
527 E WISCONSIN AVE
NEENAH, WI 549562966
Phone: (920) 574-6322
Type: Mailing
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 $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2023-11-26 • Largest payer in this snapshot: GE HealthCare ($144).
Total Amount
$144
General + Research + Ownership
Payments
1
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $144 |
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: 2024-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070714000110 | I | Diagnostic Radiology | WI | TBD |
| I20240508000506 | I | Diagnostic Radiology | MI | TBD |
| I20240911001584 | I | Diagnostic Radiology | IL | TBD |
| I20240930003209 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 266 | 266 | $0 |
| 77063 | Screening 3d breast mammography | 250 | 250 | $0 |
| 71045 | X-ray of chest, 1 view | 241 | 217 | $0 |
| 71046 | X-ray of chest, 2 views | 127 | 124 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 86 | 86 | $0 |
Insurance plans in this area (ZIP 54912)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 24 | 23 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 35 | 35 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AZ | |
| Physician Assistant | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Radiation Oncology | WI | |
| Radiation Oncology | WI | |
| Diagnostic Radiology | IL | |
| - | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI |
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