Yellowstone Vein Center – Diagnostic Ultrasound Physician, NPI 1639102171
Diagnostic Ultrasound Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Yellowstone Vein Center
2527, Cranberry Highway, Wareham Center, Wareham, Plymouth County, Massachusetts, 02571, United States
WAREHAM, MA 025711046
Phone: (800) 841-5200
Fax: (508) 273-1241
Type: Mailing
2900, 12th Avenue North, Billings, Yellowstone County, Montana, 59101, United States
2E
BILLINGS, MT 591017506
Phone: (406) 237-5862
Fax: (406) 238-6068
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: 2026-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 24 Medicare enrollment records; no due dates published yet.
Enrollment records
24
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 |
|---|---|---|---|---|
| O20040402001295 | O | Clinic/Group Practice | MT | TBD |
| O20190911000038 | O | Clinic/Group Practice | OR | TBD |
| O20230721002191 | O | Clinic/Group Practice | WA | TBD |
| O20231004002316 | O | Clinic/Group Practice | AL | TBD |
| O20231221002149 | O | Clinic/Group Practice | VA | TBD |
| O20240227003744 | O | Clinic/Group Practice | KS | TBD |
| O20240228001293 | O | Clinic/Group Practice | MI | TBD |
| O20240229000209 | O | Clinic/Group Practice | FL | TBD |
| O20240304000300 | O | Clinic/Group Practice | CO | TBD |
| O20240304000711 | O | Clinic/Group Practice | TX | TBD |
| O20240305000464 | O | Clinic/Group Practice | PA | TBD |
| O20240305001003 | O | Clinic/Group Practice | DC | TBD |
| O20240305001671 | O | Clinic/Group Practice | MD | TBD |
| O20240305002444 | O | Clinic/Group Practice | CA | TBD |
| O20240305003334 | O | Clinic/Group Practice | HI | TBD |
| O20240305003574 | O | Clinic/Group Practice | ID | TBD |
| O20240305003751 | O | Clinic/Group Practice | NV | TBD |
| O20240305003863 | O | Clinic/Group Practice | UT | TBD |
| O20240315001138 | O | Clinic/Group Practice | WI | TBD |
| O20240405001883 | O | Clinic/Group Practice | SC | TBD |
| O20240409000194 | O | Clinic/Group Practice | MA | TBD |
| O20240710002096 | O | Clinic/Group Practice | GA | TBD |
| O20240806002737 | O | Clinic/Group Practice | MS | TBD |
| O20260202000119 | O | Clinic/Group Practice | SD | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02571)
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