JANET DUBOIS M.D.
NPI 1164646782
Radiology - Diagnostic Radiology in Sioux Falls, SD


Quality Rating: 81.69 out of 100 score

NPI Status: Active since April 13, 2007

Contact Information

1210 W 18TH ST
STE LL03
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 328-1410
Fax: (605) 328-1412

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  • Individual
  • Female
  • Years of Experience 22
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JANET DUBOIS

This page provides the complete NPI Profile along with additional information for Janet Dubois, a provider established in Sioux Falls, South Dakota with a medical specialization in Radiology, focusing in diagnostic radiology and more than 22 years of experience. She graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1164646782 assigned on April 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 7955 (SD). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1164646782
Provider Name
JANET DUBOIS M.D.
Gender
Female
Entity Type
Individual
Location Address
1210 W 18TH ST STE LL03 SIOUX FALLS, SD 57104
Location Phone
(605) 328-1410
Location Fax
(605) 328-1412
Mailing Address
PO BOX 5074 SIOUX FALLS, SD 57117
Mailing Phone
(605) 328-6585
Mailing Fax
(605) 328-1412
Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
04-13-2007
Last Update Date
04-06-2012
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
7955
License State
SD
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085P0229XAllopathic & Osteopathic Physicians

Radiology
Pediatric Radiology

7955 (SD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO
  • Wellmark Bronze HDHP EPO HSA Qualified - EPO
  • Wellmark Bronze Traditional EPO - EPO
  • Wellmark Gold Traditional EPO - EPO
  • Wellmark Silver Traditional EPO - EPO
  • Wellmark Standard Bronze EPO - EPO
  • Wellmark Standard Gold EPO - EPO
  • Wellmark Standard Silver EPO - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Janet Dubois 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.

Janet Dubois 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: 4486754694

    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: I20110914000006

    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.

Complete ultrasound scan behind abdominal cavity

A 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 39 times for 39 patients

Complete ultrasound scan of abdomen

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

This service was performed 19 times for 19 patients

Complete ultrasound scan of pelvis

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

This service was performed 12 times for 12 patients

Ct scan of abdomen and pelvis before and after contrast

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

This service was performed 11 times for 11 patients

Ct scan of abdomen and pelvis with contrast

A 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 94 times for 92 patients

Ct scan of abdomen and pelvis without contrast

A 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 57 times for 57 patients

Ct scan of blood vessels of chest with contrast

A 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 33 times for 33 patients

Ct scan of chest with contrast

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

This service was performed 36 times for 36 patients

Ct scan of chest without contrast

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

This service was performed 53 times for 53 patients

Imaging for evaluation of swallowing function

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

This service was performed 47 times for 47 patients

Limited ultrasound scan of abdomen

A 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 34 times for 34 patients

Single contrast x-ray of esophagus

A single contrast x-ray of the esophagus is a non-invasive procedure where a radiopaque substance is swallowed to highlight the esophagus. This allows doctors to capture clear images of the area, aiding in the diagnosis of any abnormalities or issues.

This service was performed 11 times for 11 patients

Ultrasound scan of head and neck soft tissue

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

This service was performed 40 times for 40 patients

Ultrasound scan of scrotum

An ultrasound scan of the scrotum is a non-invasive imaging test. It uses sound waves to create pictures of the structures within the lower abdominal area. This helps to assess any discomfort or abnormalities you might be experiencing. The procedure is safe and painless.

This service was performed 11 times for 11 patients

X-ray of abdomen, 1 view

An 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 52 times for 49 patients

X-ray of abdomen, 2 views

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

This service was performed 23 times for 23 patients

X-ray of abdomen, 2 views

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

This service was performed 11 times for 11 patients

X-ray of chest, 1 view

A 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 335 times for 316 patients

X-ray of chest, 2 views

A 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 261 times for 254 patients

X-ray of chest, 2 views

A 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 60 times for 59 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 40 times for 40 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.3 for a new patient copayment and $17.3 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 57104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.21
  • Minimum New Patient Price $55.52
  • Maximum New Patient Price $167.23
  • Average New Patient Copayment $21.3
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $41.8

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.2
  • Minimum Established Patient Price $18.08
  • Maximum Established Patient Price $137.08
  • Average Established Patient Copayment $17.3
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.27

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.69, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 81.69 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 84.34

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 54.64

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 54.64

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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. Janet Dubois is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SANFORD SHELDON MEDICAL CENTER118 NORTH 7TH AVENUE
SHELDON, IA 51201
(712) 324-5041Critical Access Hospitals
SANFORD WORTHINGTON MEDICAL CENTER1018 SIXTH AVENUE PO BOX 997
WORTHINGTON, MN 56187
(507) 372-3110Acute Care Hospitals
UNITED HOSPITAL DISTRICT515 SOUTH MOORE STREET
BLUE EARTH, MN 56013
(507) 526-3273Critical Access Hospitals
SANFORD USD MEDICAL CENTER1305 W 18TH ST POST OFFICE BOX 5039
SIOUX FALLS, SD 57117
(605) 333-1000Acute Care Hospitals
SANFORD VERMILLION HOSPITAL20 SOUTH PLUM STREET
VERMILLION, SD 57069
(605) 677-3500Critical Access Hospitals

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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.
1164646782
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112412412716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 2 + 4 + 1 + 2 + 7 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1164646782 is valid because the calculated check digit 2 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
1043216955 JOHN ELMER FORRETTE JR. DPM
Individual
Podiatrist1210 W 18TH ST
SIOUX FALLS, SD 57104
(605) 328-1395
1871590281 MICHAEL L NOORDSY PA-C
Individual
Physician Assistant1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1225035215 CHRISTOPHER R NELSON CNP
Individual
Nurse Practitioner1210 W 18TH ST STE G-01
SIOUX FALLS, SD 57104
(605) 328-2663
1811959323MR. GARY L FAMESTAD MD
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1861454316MR. CAMERON L STOKKA MD
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1326000886MR. THOMAS M CINK MD
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1205882081 BRYAN L BARNESS MD
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1982650248 JOHN A MALLEK MD
Individual
Internal Medicine1210 W 18TH ST
SIOUX FALLS, SD 57104
(605) 328-3485
1023064391 JOHN P REINSCHMIDT MD
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST
SIOUX FALLS, SD 57104
(605) 328-3150
1043245467 BRETT ALLEN BASTIAN PAC
Individual
Physician Assistant1210 W 18TH ST STE 104
SIOUX FALLS, SD 57104
(605) 328-8660
1073534889 T JASON THOMPSON PA
Individual
Physician Assistant1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
(605) 328-2663
1376629519 VANESSA JO SMOOK SMITH PA-C
Individual
Physician Assistant1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
(605) 328-2663
1902951452 JESSICA J ROZELL ATC
Individual
Specialist/Technologist (Athletic Trainer)1210 W 18TH ST
SIOUX FALLS, SD 57104
(605) 328-1759
1912126939MS. DALYNN MARIE SANDINE ATC
Individual
Specialist/Technologist (Athletic Trainer)1210 W 18TH ST
SIOUX FALLS, SD 57104
(605) 575-2036
1619198801DR. BARNEY DANIEL STOUTAMIRE M.D.
Individual
Radiology (Diagnostic Radiology)1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
(605) 328-1410
1346430063 ROSS OLSON CNP
Individual
Nurse Practitioner1210 W 18TH ST SUITE G01
SIOUX FALLS, SD 57104
(605) 328-3700
1881880987 XUESHENG FENG MD
Individual
Psychiatry & Neurology (Neurology)1210 W 18TH ST STE 101
SIOUX FALLS, SD 57104
(605) 328-8130
1083853162 CHELSEY M KORTAN PA-C
Individual
Physician Assistant1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
(605) 328-2663
1548584220 DAVID R ROSSING MD
Individual
Internal Medicine1210 W 18TH ST STE 203
SIOUX FALLS, SD 57104
(605) 328-6924
1689953879 VALERIE ANN FOLKENS CNP
Individual
Nurse Practitioner1210 W 18TH ST STE 101
SIOUX FALLS, SD 57104
(605) 328-8130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164646782, enumerated in the NPI registry as an "individual" on April 13, 2007

The provider is located at 1210 W 18th St Ste Ll03 Sioux Falls, Sd 57104 and the phone number is (605) 328-1410

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 22 years of experience. She graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2004.

The provider might be accepting Accepts: Sanford Health Plan, Wellmark Health Plan of Iowa,. 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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $85.21 with an average copayment of $21.3 for new patient appointments. Established patients should expect a typical charge of $69.2 and an average copayment of 17.3. 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: Complete ultrasound scan behind abdominal cavity, Complete ultrasound scan of abdomen, Complete ultrasound scan of pelvis, Ct scan of abdomen and pelvis before and after 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 chest with contrast, Ct scan of chest without contrast, Imaging for evaluation of swallowing function, Limited ultrasound scan of abdomen, Single contrast x-ray of esophagus, Ultrasound scan of head and neck soft tissue, Ultrasound scan of scrotum, X-ray of abdomen, 1 view, X-ray of abdomen, 2 views, X-ray of abdomen, 2 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of lower and sacral spine, 2-3 views and X-ray of upper spine, 2-3 views.

The practitioner is affiliated to the following hospital(s): SANFORD SHELDON MEDICAL CENTER, SANFORD WORTHINGTON MEDICAL CENTER, UNITED HOSPITAL DISTRICT, SANFORD USD MEDICAL CENTER and SANFORD VERMILLION 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 April 13, 2007. 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.