TRI-COUNTY RADIOLOGISTS, INC. – Diagnostic Radiology Physician, NPI 1477544880
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRI-COUNTY RADIOLOGISTS, INC.
2112, Cherry Valley Road Northeast, Newark, Licking County, Ohio, 43055, United States
P O BOX 948
NEWARK, OH 430551323
Phone: (740) 522-3774
Fax: (740) 522-2221
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: 2025-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (349 days ago).
Enrollment records
11
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20050207000073 | O | Clinic/Group Practice | OH | 2025-06-30 |
| O20250306001136 | O | Clinic/Group Practice | CO | TBD |
| O20250306001283 | O | Clinic/Group Practice | PA | TBD |
| O20250307000748 | O | Clinic/Group Practice | IL | TBD |
| O20250312003690 | O | Clinic/Group Practice | MO | TBD |
| O20250313000665 | O | Clinic/Group Practice | KS | TBD |
| O20250313000983 | O | Clinic/Group Practice | MI | TBD |
| O20250313002462 | O | Clinic/Group Practice | AZ | TBD |
| O20250313002520 | O | Clinic/Group Practice | UT | TBD |
| O20250313002540 | O | Clinic/Group Practice | CA | TBD |
| O20250723002427 | O | Clinic/Group Practice | FL | TBD |
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43055)
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