JOANNA FAN – Body Imaging Physician, NPI 1659735728
Body Imaging Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOANNA FAN
2200, Jefferson Avenue, Uptown, Toledo, Lucas County, Ohio, 43604, United States
TOLEDO, OH 436047101
Phone: (419) 251-1400
Fax: (419) 251-1797
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)
CMS reports 3 Open Payments records for all available years, with a total value of $77.
Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($77).
Total Amount
$77
General + Research + Ownership
Payments
3
Total payment records
General Amount
$77
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $77 |
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: 2023-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210507001757 | I | Diagnostic Radiology | MO | TBD |
| I20230726002338 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 212 | 197 | $0 |
| 70450 | Ct scan head or brain without contrast | 147 | 141 | $0 |
| 71046 | X-ray of chest, 2 views | 136 | 129 | $0 |
| 77063 | Screening 3d breast mammography | 113 | 113 | $0 |
| 77067 | Screening mammography | 113 | 113 | $0 |
Insurance plans in this area (ZIP 43604)
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