DR. SARAH KHAN (MD) – Diagnostic Radiology Physician, NPI 1629014386
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,101 DIAGNOSTIC RADIOLOGY in WI
Provider Addresses for DR. SARAH KHAN (MD)
1836 South Ave
LA Crosse, WI 546015429
Phone: (608) 782-7300
Type: Location
East State Highway 114, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 760924410
Phone: (817) 329-8910
Fax: (817) 329-8911
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Corcept Therapeutics ($52).
Total Amount
$141
General + Research + Ownership
Payments
5
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $52 |
| GE HEALTHCARE | $43 |
| Novo Nordisk Inc | $24 |
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040616000073 | I | Diagnostic Radiology | TX | TBD |
| I20100109000358 | I | Diagnostic Radiology | IL | TBD |
| I20260227003563 | I | Diagnostic Radiology | IA | TBD |
| I20260302002966 | I | Diagnostic Radiology | MN | TBD |
| I20260302003175 | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 95 | 95 | $0 |
| 77067 | Screening mammography | 95 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 63 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 64 | 56 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 34 | 24 | $0 |
Insurance plans in this area (ZIP 54601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | IL | |
| - | WI | |
| Gastroenterology, Internal Medicine | WI |
Reviews
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