Maryville Imaging, LLC
NPI 1912293002 · Radiology Clinic/Center · Maryville, IL
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maryville Imaging, LLC is a Radiology Clinic/Center organization in Maryville, IL (NPI 1912293002).
Provider details
- NPI number
- 1912293002
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Page, President(618) 391-6406
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,234 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening 3d Breast Mammography77063 | 629 | $49 |
| Screening Mammography77067 | 629 | $118 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 145 | $36 |
| X-Ray of Chest, 2 Views71046 | 142 | $32 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 102 | $177 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 90 | $33 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-27
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Frequently asked questions
- What is Maryville Imaging, LLC's NPI number?
- Maryville Imaging, LLC's National Provider Identifier (NPI) is 1912293002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryville Imaging, LLC?
- Maryville Imaging, LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maryville Imaging, LLC located?
- Maryville Imaging, LLC's practice location on file with NPPES is 2023 Vadalabene Dr, Maryville, IL 62062-5630.
- What is Maryville Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryville Imaging, LLC is (618) 288-4929.
- Does Maryville Imaging, LLC accept Medicare?
- Maryville Imaging, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maryville Imaging, LLC?
- The authorized official listed on Maryville Imaging, LLC's NPPES record is Keith Page, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryville Imaging, LLC's NPI active?
- Yes — Maryville Imaging, LLC's NPI (1912293002) is active in the NPPES registry as of the last update on 2022-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.