DR. ANTONIO P VIGLIOTTI MD
NPI 1235126905
Radiology - Radiation Oncology in Davenport, IA

NPI Status: Active since September 28, 2005

Contact Information

1401 W CENTRAL PARK AVE
DAVENPORT, IA
ZIP 52804
Phone: (563) 421-1900
Fax: (563) 421-1938

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  • Individual
  • Male
  • Years of Experience 49
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANTONIO VIGLIOTTI

This page provides the complete NPI Profile along with additional information for Antonio Vigliotti, a provider established in Davenport, Iowa with a medical specialization in Radiology, focusing in radiation oncology and more than 49 years of experience. The healthcare provider is registered in the NPI registry with number 1235126905 assigned on September 2005. The practitioner's primary taxonomy code is 2085R0001X with license number 24869 (IA). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1235126905
Provider Name
DR. ANTONIO P VIGLIOTTI MD
Gender
Male
Entity Type
Individual
Location Address
1401 W CENTRAL PARK AVE DAVENPORT, IA 52804
Location Phone
(563) 421-1900
Location Fax
(563) 421-1938
Mailing Address
PO BOX 115 HIAWATHA, IA 52233
Mailing Phone
(319) 826-3763
Mailing Fax
(563) 421-1938
Medical School Name
OTHER
Graduation Year
1977
Is Sole Proprietor?
No
Enumeration Date
09-28-2005
Last Update Date
06-30-2025
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Location Map

Secondary Locations

  • 500 John Deere Rd
    Moline, IL 61265
    (309) 779-5090

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 Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
24869
License State
IA
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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)
12085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

036-083522 (IL)

Insurance Plans Accepted

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

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Standard | UnityPoint Health - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Primary Care | UnityPoint Health - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Primary Care | UnityPoint Health - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0973826MEDICAID (05)IA 

Medicare Participation & PECOS Enrollment Status

Antonio Vigliotti 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.

Antonio Vigliotti 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: 7012809437

    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: I20050426001212, I20100515000048

    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 radiation therapy planning

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

This service was performed 24 times for 23 patients

Calculation of radiation therapy dose

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

This service was performed 325 times for 59 patients

Complex radiation therapy planning

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

This service was performed 59 times for 57 patients

Complex radiation therapy planning for delivery of external radiation

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

This service was performed 13 times for 13 patients

Ct guidance for insertion of radiation therapy fields

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

This service was performed 1,177 times for 134 patients

Design and construction of complex radiation treatment device

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

This service was performed 162 times for 52 patients

Design and construction of radiation treatment device for high precision radiation therapy

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

This service was performed 57 times for 40 patients

Design and construction of simple radiation treatment device

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

This service was performed 16 times for 16 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 37 times for 29 patients

High precision radiation therapy planning

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

This service was performed 35 times for 34 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 26 times for 26 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 50 times for 50 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

This service was performed 46 times for 42 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

This service was performed 31 times for 28 patients

Radiation treatment management, 5 treatment sessions

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

This service was performed 305 times for 106 patients

Special radiation treatment

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

This service was performed 20 times for 20 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $40.35 for a new patient copayment and $16.59 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 52804 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $161.4
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $40.35
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

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

  • Average Established Patient Price $66.36
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $16.59
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* 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.

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. Antonio Vigliotti is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI801 ILLINI DR
SILVIS, IL 61282
(309) 281-4000Acute Care Hospitals
TRINITY ROCK ISLAND2701 17TH ST
ROCK ISLAND, IL 61201
(309) 779-5000Acute Care Hospitals
GENESIS MEDICAL CENTER-DAVENPORT1227 EAST RUSHOLME STREET
DAVENPORT, IA 52803
(563) 421-1000Acute Care 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.
1235126905
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265221290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 2 + 1 + 2 + 9 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1235126905 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487633624FAREEDUDDIN AHMED MD
Organization
Physical Medicine & Rehabilitation1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1000
1598745267 FAREEDUDDIN AHMED MD
Individual
Physical Medicine & Rehabilitation1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1000
1649233909DR. JANIS DIANE SMITH PH.D.
Individual
Psychologist (Clinical)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-2390
1588694012 RICKEY L. WILSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1785
1043481179CIACCIO MEDICAL, P.C.
Organization
Psychiatry & Neurology (Psychiatry)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(309) 236-8075
1710276183GENESIS HEALTH SYSTEM
Organization
Psychiatric Unit1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1288
1245665405STEPHEN C RASMUS MD PC
Organization
Psychiatry & Neurology (Sleep Medicine)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 349-0759
1497272538 REBEKKA JACOBS LMSW
Individual
Social Worker1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-2971
1033106729DR. CHRISTINE M SHARIS MD
Individual
Radiology (Radiation Oncology)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1900
1285331058MRS. NATALIE REITZ MSN, ARNP, FNP-C
Individual
Nurse Practitioner (Family)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1000
1427097716GENESIS HEALTH SYSTEM
Organization
Rehabilitation Unit1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-3402
1821703307 HEATHER MARIE SHUEY PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1000
1417449570DR. ALEX GORDON SIEG MD
Individual
Internal Medicine1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1900
1568604916DR. KIWHOON LEE M.D.
Individual
Radiology (Radiation Oncology)1401 W CENTRAL PARK AVE
DAVENPORT, IA 52804
(563) 421-1901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235126905, enumerated in the NPI registry as an "individual" on September 28, 2005

The provider is located at 1401 W Central Park Ave Davenport, Ia 52804 and the phone number is (563) 421-1900

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider has more than 49 years of experience.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. 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 $161.4 with an average copayment of $40.35 for new patient appointments. Established patients should expect a typical charge of $66.36 and an average copayment of 16.59. 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 radiation therapy planning, Calculation of radiation therapy dose, Complex radiation therapy planning, Complex radiation therapy planning for delivery of external radiation, Ct guidance for insertion of radiation therapy fields, Design and construction of complex radiation treatment device, Design and construction of radiation treatment device for high precision radiation therapy, Design and construction of simple radiation treatment device, Established patient office or other outpatient visit, 20-29 minutes, High precision radiation therapy planning, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes, Obtaining data needed to develop the optimal radiation treatment, 1 treatment area, Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved, Radiation treatment management, 5 treatment sessions and Special radiation treatment.

The practitioner is affiliated to the following hospital(s): GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI, TRINITY ROCK ISLAND and GENESIS MEDICAL CENTER-DAVENPORT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 28, 2005. 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.