REGINALD SCOTT WIDEMON
NPI 1437656162
Radiology - Diagnostic Radiology in Baltimore, MD

Q: What is Reginald Widemon's NPI number?

The NPI number for Reginald Widemon is 1437656162. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Reginald Widemon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Widemon was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2018PECOS Enrolled

4940 EASTERN AVENUE, BALTIMORE, MD 21264(410) 550-0100 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2024, May 3, 2024, Apr 10, 2018 (3 updates tracked since 2018).

On this page

About Reginald Scott Widemon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD SCOTT WIDEMON (NPI 1437656162) is an individual diagnostic radiology provider in Baltimore, Maryland, licensed in Maryland (D0101352) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437656162

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameREGINALD SCOTT WIDEMON

Location Address4940 EASTERN AVENUEBaltimore, MD 21264-2925

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423

Phone(410) 550-0100

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2018

Enumeration DateApril 10, 2018

Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1437656162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MD · D0101352

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4940 EASTERN AVENUE, Baltimore, MD 21264

Open in Google Maps ↗

Secondary Practice Locations 2

Location 160 Haven Ave Apt 30DNew York, NY 10032-0612 · Phone (828) 779-2304

Location 2281 1st AveNew York, NY 10003-2925 · Phone (828) 779-2304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reginald Scott Widemon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709122047

PECOS Enrollment IDI20240816000388, I20240919000050

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Reginald Widemon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University

Same address

Plastic Surgery

4940 EASTERN AVE
Baltimore, MD 21224

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1275515546 (410) 550-8400

Johns Hopkins University

2.5 mi

Body Imaging

600 N WOLFE ST
Baltimore, MD 21205

Reassigned Medicare billing, District of Columbia enrollment
190 clinicians in this Medicare group

NPI 1093796609 (410) 356-8186

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,105 services13 patients

Injection, gadobutrol, 0.1 ml A9585

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

459 services53 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

88 services87 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

47 services47 patients

Mri scan of brain before and after contrast 70553

33 services31 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

30 services30 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

17 services17 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

15 services15 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

15 services15 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

14 services14 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

12 services12 patients

Ct scan of face without contrast 70486

11 services11 patients

Mri scan of brain without contrast 70551

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suburban Hospital

Acute Care Hospitals · Bethesda, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210022

Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21264 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA AYBOUT ARNP

Nurse Practitioner (Women's Health)