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

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: August 02, 2026.

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

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 Johns Hopkins Hospital, The, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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
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.
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

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

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.

Nurse Practitioner (Women's Health)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Obstetrics & Gynecology
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Nurse Practitioner (Neonatal)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Obstetrics & Gynecology (Reproductive Endocrinology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Physician Assistant
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Internal Medicine
4940 EASTERN AVENUE
BALTIMORE, MD 21264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Reginald Widemon located?

Reginald Widemon practices at 4940 Eastern Avenue, Baltimore, MD 21264. The listed phone number is (410) 550-0100.

What is Reginald Widemon's specialty?

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

Is Reginald Widemon enrolled in Medicare?

Yes. Reginald Widemon is registered in the Medicare PECOS enrollment system.

Is Reginald Widemon affiliated with any hospitals?

According to CMS data, Reginald Widemon is affiliated with Johns Hopkins Hospital, The, Suburban Hospital and Johns Hopkins Bayview Medical Center.

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.