DR. ADAM CHRISTOPHER ROBERT DANIELSON M.D.
NPI 1104073386
Nuclear Medicine in Park Ridge, IL
NPI Status: Active since August 19, 2008
Contact Information
1775 DEMPSTER ST
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-2210
- Individual
- Male
- Years of Experience 18
- Nuclear Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About ADAM DANIELSON
This page provides the complete NPI Profile along with additional information for Adam Danielson, a provider established in Park Ridge, Illinois with a medical specialization in Nuclear Medicine and more than 18 years of experience. The healthcare provider is registered in the NPI registry with number 1104073386 assigned on August 2008. The practitioner's primary taxonomy code is 207U00000X with license number 10237201-1205 (UT). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1104073386
- Provider Name
- DR. ADAM CHRISTOPHER ROBERT DANIELSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1775 DEMPSTER ST PARK RIDGE, IL 60068
- Location Phone
- (847) 723-2210
- Mailing Address
- 5334 S WOODROW ST STE 100 MURRAY, UT 84107
- Mailing Phone
- (801) 284-1702
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2008
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2008
- Last Update Date
- 01-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nuclear Medicine
- Taxonomy Code
- 207U00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10237201-1205
- License State
- UT
- Taxonomy Description
- A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 125.054103 (IL) |
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 10237201-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Adam Danielson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Adam Danielson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 941579676
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170711003603
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
3d radiographic procedure
Complete ultrasound scan behind abdominal cavity
Ct scan head or brain without contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of blood vessels of chest with contrast
Ct scan of leg without contrast
Ct scan of upper spine without contrast
Limited ultrasound scan of abdomen
Mri scan of arm joint without contrast
Mri scan of arm joint without contrast
Mri scan of brain without contrast
Mri scan of leg joint without contrast
Mri scan of leg joint without contrast
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of shoulder, minimum of 2 views
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
This service was performed 18 times for 18 patientsA complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 21 times for 21 patientsA 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.
This service was performed 71 times for 70 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 53 times for 53 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 19 times for 19 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 26 times for 26 patientsA CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.
This service was performed 15 times for 15 patientsA 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.
This service was performed 14 times for 14 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 14 times for 13 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 35 times for 35 patientsAn MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 16 times for 16 patientsAn 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.
This service was performed 14 times for 14 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 31 times for 31 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 19 times for 19 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 31 times for 30 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 11 times for 11 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 142 times for 135 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 21 times for 21 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.71 for a new patient copayment and $26.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60068 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Adam Danielson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HOLY CROSS HOSPITAL-DAVIS | 1600 WEST ANTELOPE DRIVE LAYTON, UT 84041 | (801) 807-7000 | Acute Care Hospitals | |
| HOLY CROSS HOSPITAL-JORDAN VALLEY | 3580 WEST 9000 SOUTH WEST JORDAN, UT 84088 | (801) 561-8888 | Acute Care Hospitals | |
| MOAB REGIONAL HOSPITAL | 450 WEST WILLIAMS WAY MOAB, UT 84532 | (435) 719-3500 | Critical Access Hospitals | |
| KANE COUNTY HOSPITAL | 355 NORTH MAIN STREET KANAB, UT 84741 | (435) 644-5811 | Critical Access Hospitals | |
| BEAVER VALLEY HOSPITAL | 1109 NORTH 100 WEST BEAVER, UT 84713 | (435) 438-7100 | Critical Access Hospitals |
Reviews for DR. ADAM CHRISTOPHER ROBERT DANIELSON M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 7 | 3 | 3 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 7 | 6 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 7 + 6 + 3 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1104073386 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144212671 | SHILPA P. MEHTA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1316939846 | TARIQ M. MURAD M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1811989387 | ANDREA M. BLUMSTEIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1336131895 | RAJA M. BAHU M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1366434847 | SANOBAR KHAN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1962494443 | GARY L. KIRSHENBAUM M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909563 | SHANTHA S. SREEKANTH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1497747950 | ESTELA D. BLEI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1982696456 | CHERYL S. BRAUN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245222710 | MICHELE BONIN M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1013909597 | WILLIAM D. DWYER M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1568454072 | THOMAS L. MCCAFFREY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1952393498 | JAYARAMA SHETTY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST DELUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1275525727 | YOLANDA P. TRUJILLO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1265424717 | JAMI L. WALLOCH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1326030875 | VINUBHAI J. PATEL M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT PARK RIDGE, IL 60068 (847) 723-2210 |
| 1235111378 | MAHIN ZIAI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL PARK RIDGE, IL 60068 (847) 723-2210 |
| 1245206655 | DR. ANDREY LEV-WEISSBERG MD Individual | Internal Medicine | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 675-5834 |
| 1538128301 | DR. SURESH HAVALAD M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 1775 DEMPSTER ST PARK RIDGE, IL 60068 (847) 723-5586 |
| 1285663195 | DR. HENRY H. MANGURTEN M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1775 DEMPSTER ST DEPARTMENT OF PEDIATRICS-2 SOUTH BUILDING PARK RIDGE, IL 60068 (847) 723-6973 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104073386, enumerated in the NPI registry as an "individual" on August 19, 2008
The provider is located at 1775 Dempster St Park Ridge, Il 60068 and the phone number is (847) 723-2210
The provider's speciality is Nuclear Medicine with taxonomy code 207U00000X
The provider has more than 18 years of experience.
The provider might be accepting Accepts: Imperial Health Plan of the Southwest, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $138.86 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: 3d radiographic procedure, Complete ultrasound scan behind abdominal cavity, Ct scan head or brain without contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis without contrast, Ct scan of blood vessels of chest with contrast, Ct scan of leg without contrast, Ct scan of upper spine without contrast, Limited ultrasound scan of abdomen, Mri scan of arm joint without contrast, Mri scan of arm joint without contrast, Mri scan of brain without contrast, Mri scan of leg joint without contrast, Mri scan of leg joint without contrast, Ultrasound study of one arm or leg veins with compression and maneuvers, X-ray of abdomen, 1 view, X-ray of chest, 1 view, X-ray of chest, 2 views and X-ray of shoulder, minimum of 2 views.
The practitioner is affiliated to the following hospital(s): HOLY CROSS HOSPITAL-DAVIS, HOLY CROSS HOSPITAL-JORDAN VALLEY, MOAB REGIONAL HOSPITAL, KANE COUNTY HOSPITAL and BEAVER VALLEY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.