GRAND ISLAND IMAGING CENTER – Diagnostic Radiology Physician, NPI 1427094341
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GRAND ISLAND IMAGING CENTER
Grand Island Post Office, McIntyre Lane, Grand Island, Lake County, Florida, 32735, United States
GRAND ISLAND, NE 688021962
Phone: (469) 469-4741
Fax: (308) 398-6408
Type: Mailing
Richmond Circle, Grand Island, Hall County, Nebraska, 68803, United States
GRAND ISLAND, NE 688033910
Phone: (469) 469-4741
Fax: (308) 398-6408
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.
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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: 2004-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (740 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 |
|---|---|---|---|---|
| O20040603000592 | O | Independent Diagnostic Testing Facility (Idtf) | NE | 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 | 23,596 | 268 | $0 |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 2,400 | 127 | $0 |
| 71250 | Ct scan of chest without contrast | 197 | 172 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 135 | 97 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 132 | 95 | $0 |
Insurance plans in this area (ZIP 68802)
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