TIC ACQUISITION HOLDING LLC – Radiology Clinic/Center, NPI 1538152939
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TIC ACQUISITION HOLDING LLC
Metrocentre Boulevard, West Palm Beach, Palm Beach County, Florida, 3447, United States
WEST PALM BEACH, FL 334073105
Phone: (561) 684-9020
Fax: (561) 684-9060
Type: Mailing
7041 S US Highway 1
Port St Lucie, FL 349521429
Phone: (561) 295-7574
Fax: (562) 316-0106
Type: Location
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: 2018-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (648 days ago).
Enrollment records
2
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20031219000431 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20180719003720 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 304 | 297 | $0 |
| 73721 | Mri scan of leg joint without contrast | 134 | 116 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 129 | 128 | $0 |
| 73221 | Mri scan of arm joint without contrast | 89 | 83 | $0 |
| 70551 | Mri scan of brain without contrast | 74 | 73 | $0 |
Insurance plans in this area (ZIP 33407)
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