Encore Imaging – Diagnostic Radiology Physician, NPI 1770576167
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Encore Imaging
2290, West Eau Gallie Boulevard, Melbourne, Brevard County, Florida, 32935, United States
STE 104
MELBOURNE, FL 329353133
Phone: (321) 253-2700
Fax: (321) 253-2267
Type: Mailing
3212 Citrus Tower Blvd
Clermont, FL 34711
Phone: (352) 350-7240
Fax: (352) 350-7340
Type: Location
1724 N Mills Ave Ste 100
Orlando, FL 328031840
Phone: (689) 800-6190
Type: Location
1900 Okeechobee Blvd Ste A10
West Palm Beach, FL 334094132
Phone: (561) 783-3890
Type: Location
1760 N Congress Ave Ste 200
Boynton Beach, FL 334268216
Phone: (561) 778-2030
Type: Location
2826 University Pkwy
Sarasota, FL 342432410
Phone: (941) 919-6780
Type: Location
4331 N Federal Hwy Ste 200
Fort Lauderdale, FL 333085252
Phone: (954) 900-9685
Fax: (954) 727-5715
Type: Location
2340 Vanderbilt Beach Rd
Naples, FL 341092763
Phone: (239) 299-3705
Fax: (239) 399-3735
Type: Location
2290 W EAU GALLIE BLVD STE 104
MELBOURNE, FL 329353134
Phone: (321) 253-2700
Fax: (321) 253-2267
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: 2026-01-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| O20120712000768 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20240318000953 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20240514000546 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20240514001233 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20250407000884 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20250417001222 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20250513000071 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20250825002227 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20251118004918 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20251119002230 | O | Independent Diagnostic Testing Facility (Idtf) | FL | TBD |
| O20260114002932 | O | Independent Diagnostic Testing Facility (Idtf) | FL | 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 |
|---|---|---|---|---|
| 70553 | Mri scan of brain before and after contrast | 244 | 206 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 126 | 124 | $0 |
| 70551 | Mri scan of brain without contrast | 116 | 108 | $0 |
| 73221 | Mri scan of arm joint without contrast | 90 | 85 | $0 |
| 73721 | Mri scan of leg joint without contrast | 87 | 81 | $0 |
Insurance plans in this area (ZIP 32935)
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