Cincinnati Pet Scan – Medical Oncology Physician, NPI 1790778041
Medical Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Cincinnati Pet Scan
5053, Wooster Road, Linwood, Cincinnati, Hamilton County, Ohio, 45226, United States
CINCINNATI, OH 452262326
Phone: (513) 751-2145
Fax: (513) 751-2138
Type: Mailing
71, East Hollister Street, Mount Auburn Historic District, Mount Auburn, Cincinnati, Hamilton County, Ohio, 45219, United States
CINCINNATI, OH 45219
Phone: (513) 751-2273
Type: Location
601 Ivy Gtwy
Cincinnati, OH 452451898
Phone: (513) 751-2273
Fax: (513) 751-2273
Type: Location
3300 Mercy Health Blvd
Cincinnati, OH 452111103
Phone: (513) 751-2273
Type: Location
3050 Mack Rd Ste 300
Fairfield, OH 450145376
Phone: (513) 751-2273
Type: Location
4700 E Galbraith Rd
Cincinnati, OH 452362754
Phone: (513) 751-2273
Fax: (513) 762-2483
Type: Location
2960 Mack Rd Ste 105
Fairfield, OH 450145632
Phone: (513) 751-2273
Fax: (513) 761-2843
Type: Location
3301 Mercy Health Blvd
Cincinnati, OH 452111105
Phone: (513) 751-2273
Fax: (513) 762-2483
Type: Location
71 E Hollister St
Cincinnati, OH 45219
Phone: (513) 751-2273
Type: Location
4777 E Galbraith Rd
Cincinnati, OH 452362725
Phone: (513) 751-2273
Fax: (513) 762-2483
Type: Location
4030 Smith Rd Ste 300
Cincinnati, OH 452091974
Phone: (513) 751-2273
Type: Location
4350 Malsbary Rd
Blue Ash, OH 452425665
Phone: (513) 751-2273
Fax: (513) 762-2843
Type: Location
5053 WOOSTER RD
CINCINNATI, OH 452262326
Phone: (513) 751-2273
Fax: (513) 751-2273
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: 2021-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (707 days ago).
Enrollment records
1
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20031104000194 | O | Clinic/Group Practice | OH | 2024-06-30 |
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 |
|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 63 | 63 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 14 | 14 | $0 |
Insurance plans in this area (ZIP 45226)
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