Libertyville Imaging Center – Diagnostic Radiology Physician, NPI 1427041086
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Libertyville Imaging Center
333, Peterson Road, Libertyville, Lake, Illinois, 60048, United States
SUITE 230
LIBERTYVILLE, IL 600481085
Phone: (847) 549-8000
Fax: (847) 549-8080
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)
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: 2004-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (737 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20040112000132 | O | Independent Diagnostic Testing Facility (Idtf) | IL | 2024-05-31 |
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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,500 | 14 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 120 | 11 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 15 | 15 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 11 | 11 | $0 |
| 73721 | Mri scan of leg joint without contrast | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60048)
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