MANASSEH MEDICAL IMAGING, INC – Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, NPI 1184806143
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MANASSEH MEDICAL IMAGING, INC
4833, 73rd Street, Spanish Oaks, Lubbock, Texas, 79424, United States
LUBBOCK, TX 794242105
Phone: (806) 239-0509
Type: Mailing
PO BOX 16856
LUBBOCK, TX 794906856
Phone: (806) 771-1386
Type: Mailing
4311, Ironton Avenue, Lubbock, Texas, 79407, United States
#2
LUBBOCK, TX 794073735
Phone: (806) 239-0509
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: 2012-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (587 days ago).
Enrollment records
2
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20090202000201 | O | Portable X-Ray Supplier | TX | TBD |
| O20120320000451 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2024-10-31 |
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 |
|---|---|---|---|---|
| Q0092 | Set-up portable x-ray equipment | 4,192 | 2,005 | $0 |
| 71046 | X-ray of chest, 2 views | 3,138 | 2,265 | $0 |
| R0070 | Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen | 2,953 | 1,803 | $0 |
| 74018 | X-ray of abdomen, 1 view | 918 | 693 | $0 |
| 71045 | X-ray of chest, 1 view | 795 | 621 | $0 |
Insurance plans in this area (ZIP 79424)
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