Active NPI 1750385357 Individual Practitioner Male Practitioner

Dr. Timothy A. Conner , MD

Radiology - Diagnostic Radiology • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Conner, MD is a certified Radiology - Diagnostic Radiology practicing in Omaha, NE. With approximately 38 years of clinical experience since graduating from West Virginia University School Of Medicine in 1988, Dr. Conner delivers high-quality medical care to the local community at 17310 WRIGHT ST STE 103.

Dr. Conner maintains professional affiliations with Chickasaw Nation Division Of Health, Diagnostic Radiology Pc, The Duluth Clinic Ltd and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include x-ray of chest, 1 view, ct scan head or brain without contrast, ct scan of abdomen and pelvis with contrast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17310 Wright St Ste 103

Omaha, NE 681302405

Telephone 8332286889

Fax 8778530376

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1988

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Omaha, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

153 Specialists

Practicing in Omaha, NE (255 Statewide)

Telehealth Adoption Rate

1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Conner (38 Years) 38 Yrs

Omaha Specialty Average (24.2 Years) 24.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	900	839	$27.98	$7.86
70450 Ct scan head or brain without contrast	567	561	$143.30	$36.45
74177 Ct scan of abdomen and pelvis with contrast	363	361	$282.87	$79.70
71275 Ct scan of blood vessels of chest with contrast	247	246	$267.29	$78.77
72125 Ct scan of upper spine without contrast	204	204	$166.59	$43.07
74176 Ct scan of abdomen and pelvis without contrast	200	200	$291.56	$76.88
71046 X-ray of chest, 2 views	156	152	$34.88	$9.87
71250 Ct scan of chest without contrast	101	101	$175.42	$46.85
70498 Ct scan of blood vessels of neck with contrast	87	87	$248.84	$72.86
70496 Ct scan of blood vessels of head with contrast	86	86	$255.02	$75.10
74018 X-ray of abdomen, 1 view	78	69	$29.76	$8.26
73502 X-ray of hip, 2-3 views	69	69	$30.12	$10.02
71260 Ct scan of chest with contrast	64	64	$199.63	$49.56
73030 X-ray of shoulder, minimum of 2 views	55	54	$29.60	$8.45
76705 Limited ultrasound scan of abdomen	55	54	$101.08	$25.20
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	45	45	$70.99	$19.41
72131 CT scan of lower spine	45	44	$152.48	$41.92
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	44	44	$306.34	$94.08
73560 X-ray of knee, 1-2 views	42	40	$25.37	$7.82
73562 X-ray of knee, 3 views	40	37	$29.04	$8.52
73630 X-ray of foot, minimum of 3 views	39	37	$25.17	$7.59
73610 X-ray of ankle, minimum of 3 views	38	34	$27.97	$7.91
72192 Ct scan pelvis	32	32	$160.82	$48.01
73700 Ct scan of leg without contrast	32	31	$160.17	$44.00
70551 Mri scan of brain without contrast	29	29	$220.33	$66.00
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$33.31	$10.10
72128 CT scan of middle spine	28	27	$138.07	$42.52
72170 X-ray of pelvis, 1-2 views	28	28	$29.19	$7.77
73590 X-ray of lower leg, 2 views	28	26	$24.50	$7.33
70486 CT scan of face	26	26	$144.46	$36.23
74178 Ct scan of abdomen and pelvis before and after contrast	26	25	$287.30	$90.06
73110 X-ray of wrist, minimum of 3 views	24	23	$24.93	$7.79
73130 X-ray of hand, minimum of 3 views	22	22	$25.00	$7.63
76770 Complete ultrasound scan behind abdominal cavity	21	21	$140.58	$32.67
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	20	$168.31	$29.57
73552 X-ray of thigh bone, minimum 2 views	20	20	$26.19	$8.05
74019 X-ray of abdomen, 2 views	19	19	$34.86	$9.89
73080 X-ray of elbow, minimum of 3 views	17	17	$26.54	$7.85
73090 X-ray of forearm, 2 views	15	15	$20.71	$7.21
73564 X-ray of knee, 4 or more views	14	14	$36.01	$10.06
71101 X-ray of ribs on side of body, minimum of 3 views	13	13	$43.35	$11.33
73620 X-ray of foot, 2 views	13	13	$25.26	$7.22
73060 X-ray of upper arm, minimum of 2 views	13	12	$23.29	$7.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	893	828	$30.04	$8.25
70450 Ct scan head or brain without contrast	474	468	$154.04	$37.53
74177 Ct scan of abdomen and pelvis with contrast	320	319	$291.72	$82.13
71046 X-ray of chest, 2 views	295	291	$38.22	$9.91
71275 Ct scan of blood vessels of chest with contrast	226	226	$286.26	$81.56
74176 Ct scan of abdomen and pelvis without contrast	173	170	$279.75	$78.18
72125 Ct scan of upper spine without contrast	172	171	$159.41	$44.32
73502 X-ray of hip, 2-3 views	120	112	$29.32	$10.13
73030 X-ray of shoulder, minimum of 2 views	107	101	$29.80	$8.58
74018 X-ray of abdomen, 1 view	95	88	$32.30	$8.34
71250 Ct scan of chest without contrast	71	70	$154.84	$47.47
73630 X-ray of foot, minimum of 3 views	71	65	$23.41	$7.61
72100 X-ray of lower and sacral spine, 2-3 views	65	64	$29.18	$10.20
73562 X-ray of knee, 3 views	56	48	$24.08	$8.57
70496 Ct scan of blood vessels of head with contrast	48	48	$245.19	$78.26
71260 Ct scan of chest with contrast	45	45	$208.61	$50.96
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	44	43	$72.19	$20.61
76705 Limited ultrasound scan of abdomen	43	43	$89.19	$26.03
73564 X-ray of knee, 4 or more views	43	39	$32.99	$10.33
74019 X-ray of abdomen, 2 views	42	41	$34.80	$10.53
73110 X-ray of wrist, minimum of 3 views	41	40	$25.31	$7.90
72170 X-ray of pelvis, 1-2 views	40	40	$30.14	$7.97
70486 CT scan of face	39	39	$162.30	$37.25
70498 Ct scan of blood vessels of neck with contrast	38	38	$249.99	$76.67
73130 X-ray of hand, minimum of 3 views	38	35	$28.56	$7.93
73610 X-ray of ankle, minimum of 3 views	36	34	$31.02	$7.93
73560 X-ray of knee, 1-2 views	31	27	$22.41	$7.64
73080 X-ray of elbow, minimum of 3 views	28	28	$27.58	$7.91
72131 CT scan of lower spine	27	27	$144.56	$42.89
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	27	27	$293.86	$97.28
73552 X-ray of thigh bone, minimum 2 views	26	25	$27.53	$8.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$171.36	$31.55
73590 X-ray of lower leg, 2 views	25	24	$24.59	$7.25
71101 X-ray of ribs on side of body, minimum of 3 views	19	19	$35.27	$11.57
72040 X-ray of upper spine, 2-3 views	18	18	$29.33	$10.23
73060 X-ray of upper arm, minimum of 2 views	18	18	$27.24	$7.63
70551 Mri scan of brain without contrast	16	16	$229.28	$66.81
72192 Ct scan pelvis	16	16	$148.16	$49.63
72072 X-ray of middle spine, 3 views	15	15	$30.07	$10.23
73090 X-ray of forearm, 2 views	14	14	$28.66	$7.39
73700 Ct scan of leg without contrast	14	14	$178.75	$44.47
76770 Complete ultrasound scan behind abdominal cavity	14	14	$144.70	$33.94
72128 CT scan of middle spine	13	13	$145.50	$42.70
70553 Mri scan of brain before and after contrast	12	12	$335.67	$103.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	1,134	1,045	$30.26	$8.73
70450 Ct scan head or brain without contrast	734	719	$150.24	$38.92
74177 Ct scan of abdomen and pelvis with contrast	419	411	$288.77	$86.04
71046 X-ray of chest, 2 views	349	346	$36.86	$10.20
71275 Ct scan of blood vessels of chest with contrast	309	305	$282.88	$85.24
74176 Ct scan of abdomen and pelvis without contrast	285	282	$301.49	$82.10
72125 Ct scan of upper spine without contrast	266	262	$173.46	$47.09
73502 X-ray of hip, 2-3 views	134	129	$31.24	$10.60
71250 Ct scan of chest without contrast	134	133	$166.14	$49.88
73030 X-ray of shoulder, minimum of 2 views	120	108	$26.62	$8.92
74018 X-ray of abdomen, 1 view	116	107	$32.86	$8.56
71260 Ct scan of chest with contrast	87	87	$213.84	$52.55
70498 Ct scan of blood vessels of neck with contrast	75	75	$281.31	$78.70
72100 X-ray of lower and sacral spine, 2-3 views	74	74	$30.79	$10.65
73630 X-ray of foot, minimum of 3 views	73	65	$24.56	$7.91
70496 Ct scan of blood vessels of head with contrast	72	72	$284.51	$82.15
72131 CT scan of lower spine	61	61	$161.53	$45.72
73562 X-ray of knee, 3 views	61	53	$24.69	$8.81
73610 X-ray of ankle, minimum of 3 views	56	51	$28.84	$8.15
73564 X-ray of knee, 4 or more views	56	52	$32.31	$10.79
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	50	50	$311.78	$104.70
72170 X-ray of pelvis, 1-2 views	49	49	$31.19	$8.32
76705 Limited ultrasound scan of abdomen	47	47	$98.04	$27.80
70486 CT scan of face	46	46	$169.91	$38.32
73130 X-ray of hand, minimum of 3 views	43	37	$24.68	$8.23
74019 X-ray of abdomen, 2 views	41	41	$36.97	$10.71
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	41	41	$72.06	$21.13
73560 X-ray of knee, 1-2 views	40	33	$23.57	$7.86
73110 X-ray of wrist, minimum of 3 views	39	36	$25.00	$8.32
70551 Mri scan of brain without contrast	35	35	$234.97	$69.48
73700 Ct scan of leg without contrast	34	32	$152.46	$46.44
73060 X-ray of upper arm, minimum of 2 views	34	34	$25.96	$7.72
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	34	$109.86	$33.91
71101 X-ray of ribs on side of body, minimum of 3 views	32	32	$40.22	$12.60
72128 CT scan of middle spine	29	29	$165.21	$45.32
72192 Ct scan pelvis	28	28	$168.32	$51.46
73590 X-ray of lower leg, 2 views	26	21	$26.55	$7.65
73552 X-ray of thigh bone, minimum 2 views	24	24	$27.32	$8.91
72040 X-ray of upper spine, 2-3 views	24	24	$29.32	$10.52
76770 Complete ultrasound scan behind abdominal cavity	21	21	$125.79	$33.76
72110 X-ray of lower and sacral spine, minimum of 4 views	19	19	$38.42	$12.16
74022 Complete x-ray study of abdomen with single x-ray of chest	17	16	$46.82	$14.88
72072 X-ray of middle spine, 3 views	17	17	$31.65	$10.52
73090 X-ray of forearm, 2 views	16	16	$26.52	$7.73
73080 X-ray of elbow, minimum of 3 views	15	15	$29.85	$8.33
72141 MRI scan of upper spinal canal	14	14	$263.38	$65.27
72070 X-ray of middle spine, 2 views	14	14	$27.50	$9.82
70553 Mri scan of brain before and after contrast	14	14	$383.71	$106.74
70544 Mri scan of blood vessels of head without contrast	13	13	$177.00	$56.79
72050 X-ray of upper spine, 4 or 5 views	12	12	$38.00	$12.77
73200 Ct scan of arm without contrast	12	12	$154.78	$47.19
76775 Limited ultrasound scan behind abdominal cavity	11	11	$95.30	$27.67
73620 X-ray of foot, 2 views	11	11	$24.00	$7.21
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$311.96	$94.61
70491 CT scan of neck with contrast	11	11	$210.77	$64.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	1,120	1,039	$30.69	$8.86
70450 Ct scan head or brain without contrast	729	719	$149.83	$40.07
74177 Ct scan of abdomen and pelvis with contrast	405	402	$304.34	$87.60
71046 X-ray of chest, 2 views	400	391	$36.72	$10.50
71275 Ct scan of blood vessels of chest with contrast	301	301	$286.33	$86.62
74176 Ct scan of abdomen and pelvis without contrast	270	269	$281.73	$83.91
72125 Ct scan of upper spine without contrast	246	244	$171.20	$47.81
73502 X-ray of hip, 2-3 views	146	140	$29.20	$10.86
71250 Ct scan of chest without contrast	139	138	$160.37	$50.99
74018 X-ray of abdomen, 1 view	109	101	$33.05	$8.81
71260 Ct scan of chest with contrast	109	107	$210.75	$54.21
73030 X-ray of shoulder, minimum of 2 views	99	92	$25.54	$9.15
73630 X-ray of foot, minimum of 3 views	81	75	$24.51	$8.19
70498 Ct scan of blood vessels of neck with contrast	73	73	$278.53	$80.78
72100 X-ray of lower and sacral spine, 2-3 views	70	70	$32.25	$10.82
70496 Ct scan of blood vessels of head with contrast	70	70	$283.52	$83.71
73562 X-ray of knee, 3 views	66	59	$25.49	$9.02
72131 CT scan of lower spine	62	62	$152.09	$46.55
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	54	54	$72.31	$21.21
73610 X-ray of ankle, minimum of 3 views	51	50	$29.86	$8.49
73564 X-ray of knee, 4 or more views	49	41	$31.29	$10.92
70486 CT scan of face	49	49	$162.73	$39.31
74019 X-ray of abdomen, 2 views	47	47	$35.74	$11.16
73560 X-ray of knee, 1-2 views	45	36	$23.16	$8.10
72170 X-ray of pelvis, 1-2 views	38	38	$30.14	$8.52
73110 X-ray of wrist, minimum of 3 views	37	36	$26.94	$8.50
73130 X-ray of hand, minimum of 3 views	37	36	$28.52	$8.39
72192 Ct scan pelvis	37	37	$160.27	$51.70
93970 Ultrasound study of arm or leg veins with compression and maneuvers	36	36	$114.89	$33.44
76705 Limited ultrasound scan of abdomen	36	36	$97.95	$28.67
73552 X-ray of thigh bone, minimum 2 views	34	34	$29.21	$8.96
70551 Mri scan of brain without contrast	31	30	$267.98	$69.96
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	30	30	$323.07	$105.92
72040 X-ray of upper spine, 2-3 views	30	30	$29.67	$10.79
73700 Ct scan of leg without contrast	27	26	$165.97	$47.79
72110 X-ray of lower and sacral spine, minimum of 4 views	26	26	$38.00	$12.48
72128 CT scan of middle spine	25	25	$156.79	$46.26
71101 X-ray of ribs on side of body, minimum of 3 views	24	24	$39.34	$12.95
73590 X-ray of lower leg, 2 views	20	20	$26.76	$7.86
73060 X-ray of upper arm, minimum of 2 views	20	20	$24.17	$8.20
72072 X-ray of middle spine, 3 views	19	19	$31.47	$10.84
74022 Complete x-ray study of abdomen with single x-ray of chest	18	18	$46.17	$15.18
73080 X-ray of elbow, minimum of 3 views	16	16	$25.54	$8.64
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$276.07	$95.40
72070 X-ray of middle spine, 2 views	14	14	$30.14	$9.85
73090 X-ray of forearm, 2 views	13	13	$23.54	$7.80
70491 CT scan of neck with contrast	12	12	$202.58	$64.94
73620 X-ray of foot, 2 views	12	11	$24.29	$7.53
76770 Complete ultrasound scan behind abdominal cavity	11	11	$150.07	$35.09
73200 Ct scan of arm without contrast	11	11	$161.50	$47.37
71100 X-ray of ribs of one side of body, 2 views	11	11	$29.73	$10.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	963	892	$32.32	$9.22
70450 Ct scan head or brain without contrast	711	694	$170.68	$42.10
74177 Ct scan of abdomen and pelvis with contrast	355	353	$342.18	$91.56
74176 Ct scan of abdomen and pelvis without contrast	309	309	$347.16	$87.56
71275 Ct scan of blood vessels of chest with contrast	271	268	$317.63	$90.73
71046 X-ray of chest, 2 views	257	253	$37.65	$10.96
72125 Ct scan of upper spine without contrast	224	222	$200.11	$49.85
71250 Ct scan of chest without contrast	151	151	$189.59	$57.27
74018 X-ray of abdomen, 1 view	121	113	$33.33	$9.06
73502 X-ray of hip, 2-3 views	82	78	$34.82	$11.33
71260 Ct scan of chest with contrast	80	79	$236.39	$60.62
73030 X-ray of shoulder, minimum of 2 views	75	68	$30.13	$9.55
70496 Ct scan of blood vessels of head with contrast	66	65	$300.07	$86.44
70498 Ct scan of blood vessels of neck with contrast	64	63	$292.91	$84.08
70551 Mri scan of brain without contrast	53	52	$299.57	$74.44
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	52	$91.14	$22.50
74019 X-ray of abdomen, 2 views	52	51	$35.95	$11.67
72131 CT scan of lower spine	49	49	$172.04	$49.00
70486 CT scan of face	43	43	$189.99	$41.89
72100 X-ray of lower and sacral spine, 2-3 views	38	38	$31.91	$11.32
76705 Limited ultrasound scan of abdomen	37	37	$111.85	$29.04
73560 X-ray of knee, 1-2 views	33	27	$23.06	$8.50
73630 X-ray of foot, minimum of 3 views	33	31	$25.26	$8.56
73110 X-ray of wrist, minimum of 3 views	30	27	$28.05	$8.89
73562 X-ray of knee, 3 views	30	25	$25.97	$9.54
72192 Ct scan pelvis	29	29	$178.76	$54.64
73700 Ct scan of leg without contrast	28	27	$178.24	$49.98
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	28	28	$329.39	$110.96
73130 X-ray of hand, minimum of 3 views	27	25	$29.07	$8.93
72128 CT scan of middle spine	26	25	$171.05	$48.96
72170 X-ray of pelvis, 1-2 views	25	25	$30.42	$8.86
73564 X-ray of knee, 4 or more views	23	22	$34.72	$11.35
73610 X-ray of ankle, minimum of 3 views	23	22	$30.22	$8.83
71101 X-ray of ribs on side of body, minimum of 3 views	18	18	$40.30	$13.47
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$129.67	$35.23
70547 Mri scan of blood vessels of neck without contrast	17	17	$309.41	$57.67
73590 X-ray of lower leg, 2 views	16	14	$25.59	$7.94
73080 X-ray of elbow, minimum of 3 views	16	16	$31.39	$8.91
70491 CT scan of neck with contrast	14	14	$230.14	$68.66
73552 X-ray of thigh bone, minimum 2 views	14	14	$34.66	$9.26
73090 X-ray of forearm, 2 views	13	13	$26.10	$8.52
74022 Complete x-ray study of abdomen with single x-ray of chest	12	12	$50.92	$15.97
70544 Mri scan of blood vessels of head without contrast	12	12	$307.00	$59.60
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$322.91	$100.38
72040 X-ray of upper spine, 2-3 views	11	11	$31.55	$11.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	292	282	$35.38	$9.07
70450 Ct scan head or brain without contrast	267	263	$169.69	$41.55
74177 Ct scan of abdomen and pelvis with contrast	144	143	$442.83	$90.58
74176 Ct scan of abdomen and pelvis without contrast	123	122	$416.85	$86.05
72125 Ct scan of upper spine without contrast	85	83	$225.01	$52.27
71275 Ct scan of blood vessels of chest with contrast	79	79	$343.91	$89.97
71046 X-ray of chest, 2 views	59	59	$43.25	$10.88
71260 Ct scan of chest with contrast	38	38	$272.45	$59.90
71250 Ct scan of chest without contrast	37	37	$201.65	$56.85
74018 X-ray of abdomen, 1 view	30	29	$38.07	$9.08
73562 X-ray of knee, 3 views	25	24	$40.20	$9.43
73502 X-ray of hip, 2-3 views	23	23	$46.87	$11.21
73030 X-ray of shoulder, minimum of 2 views	22	22	$36.68	$9.44
70498 Ct scan of blood vessels of neck with contrast	21	21	$337.43	$83.09
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$93.86	$22.53
70486 CT scan of face	20	20	$198.65	$41.09
72131 CT scan of lower spine	19	19	$198.53	$48.89
73630 X-ray of foot, minimum of 3 views	19	19	$35.68	$8.42
70496 Ct scan of blood vessels of head with contrast	19	19	$332.84	$86.78
76705 Limited ultrasound scan of abdomen	17	17	$118.59	$28.49
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$46.19	$11.26
70551 Mri scan of brain without contrast	13	13	$307.62	$73.29
74019 X-ray of abdomen, 2 views	13	13	$40.38	$11.47
76700 Ultrasound of abdomen	12	12	$134.17	$39.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	1,095	800	$40.00	$8.94
71046 X-ray of chest, 2 views	601	585	$46.00	$10.63
70450 Ct scan head or brain without contrast	330	316	$191.00	$41.59
71250 Ct scan of chest without contrast	236	234	$258.00	$56.66
77067 Screening mammography	174	174	$103.00	$36.64
74018 X-ray of abdomen, 1 view	156	140	$40.00	$8.89
74177 Ct scan of abdomen and pelvis with contrast	152	149	$412.00	$88.35
71275 Ct scan of blood vessels of chest with contrast	120	120	$425.00	$88.63
71046 X-ray of chest, 2 views	120	115	$46.00	$10.57
74176 Ct scan of abdomen and pelvis without contrast	103	103	$394.00	$84.96
70551 Mri scan of brain without contrast	94	94	$345.00	$72.78
71250 Ct scan of chest without contrast	93	93	$258.00	$56.70
77080 Dxa bone density measurement of hip, pelvis, spine	77	77	$51.00	$9.93
72125 Ct scan of upper spine without contrast	74	73	$258.00	$52.30
76705 Limited ultrasound scan of abdomen	71	71	$129.00	$28.83
74022 Complete x-ray study of abdomen with single x-ray of chest	66	62	$71.00	$15.90
77063 Screening digital tomography of both breasts	62	62	$131.00	$29.14
73502 X-ray of hip, 2-3 views	62	61	$49.00	$10.87
72110 X-ray of lower and sacral spine, minimum of 4 views	58	58	$70.00	$15.41
71260 Ct scan of chest with contrast	58	56	$275.00	$60.66
73030 X-ray of shoulder, minimum of 2 views	53	48	$43.00	$9.28
70553 Mri scan of brain before and after contrast	51	51	$560.00	$108.98
77067 Screening mammography	47	47	$103.68	$36.29
73564 X-ray of knee, 4 or more views	46	40	$51.00	$10.82
73630 X-ray of foot, minimum of 3 views	43	39	$38.00	$8.25
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	41	39	$552.00	$117.03
72100 X-ray of lower and sacral spine, 2-3 views	38	37	$51.00	$10.84
76775 Limited ultrasound scan behind abdominal cavity	37	37	$129.00	$27.88
70498 Ct scan of blood vessels of neck with contrast	36	36	$389.00	$79.08
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	36	36	$480.00	$105.00
73502 X-ray of hip, 2-3 views	36	34	$49.00	$10.99
76770 Complete ultrasound scan behind abdominal cavity	30	30	$163.00	$35.00
72141 MRI scan of upper spinal canal	28	28	$373.00	$71.31
70496 Ct scan of blood vessels of head with contrast	27	27	$389.00	$83.10
72170 X-ray of pelvis, 1-2 views	27	26	$40.00	$8.43
77065 Diagnostic mammography of 1 breast	27	27	$115.00	$40.20
73030 X-ray of shoulder, minimum of 2 views	26	26	$43.00	$9.27
73110 X-ray of wrist, minimum of 3 views	24	21	$38.00	$8.42
74019 X-ray of abdomen, 2 views	24	24	$51.00	$11.34
93880 Ultrasound of both sides of head and neck blood flow	24	24	$135.00	$39.85
73110 X-ray of wrist, minimum of 3 views	23	22	$38.00	$8.65
73130 X-ray of hand, minimum of 3 views	23	18	$38.00	$8.65
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$51.00	$9.93
73610 X-ray of ankle, minimum of 3 views	22	20	$38.00	$8.61
73610 X-ray of ankle, minimum of 3 views	21	20	$38.00	$8.60
73700 Ct scan of leg without contrast	21	21	$242.00	$49.52
73560 X-ray of knee, 1-2 views	21	18	$40.00	$8.26
72050 X-ray of upper spine, 4 or 5 views	21	21	$70.00	$15.60
76700 Ultrasound of abdomen	21	21	$179.00	$39.42
76642 Limited ultrasound scan of 1 breast	21	20	$152.00	$33.56
72148 MRI scan of lower spinal canal	20	20	$380.00	$73.05
76775 Limited ultrasound scan behind abdominal cavity	19	19	$129.00	$27.50
G0297 Low dose ct scan (ldct) for lung cancer screening	19	19	$122.56	$50.16
72072 X-ray of middle spine, 3 views	18	18	$49.00	$10.70
76536 Ultrasound of head and neck	18	18	$122.00	$27.66
74177 Ct scan of abdomen and pelvis with contrast	18	18	$412.00	$89.78
73630 X-ray of foot, minimum of 3 views	16	14	$38.00	$8.30
77066 Diagnostic mammography of both breasts	16	16	$125.00	$49.46
73130 X-ray of hand, minimum of 3 views	15	13	$38.00	$8.62
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$102.00	$21.19
76705 Limited ultrasound scan of abdomen	14	14	$129.00	$28.91
72040 X-ray of upper spine, 2-3 views	14	14	$51.00	$10.96
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$457.00	$98.36
76830 Ultrasound pelvis through vagina	14	14	$150.00	$34.21
74230 Imaging for evaluation of swallowing function	13	13	$117.00	$26.22
73562 X-ray of knee, 3 views	13	12	$43.00	$9.26
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$102.00	$22.36
73620 X-ray of foot, 2 views	13	12	$35.00	$7.65
73564 X-ray of knee, 4 or more views	13	12	$51.00	$11.01
73140 X-ray of finger, minimum of 2 views	13	11	$30.00	$6.91
71260 Ct scan of chest with contrast	12	12	$275.00	$61.12
76776 Ultrasound scan of transplanted kidney	12	12	$168.00	$37.25
78306 Nuclear medicine study of bone and/or joint whole body	12	12	$189.00	$41.88
76536 Ultrasound of head and neck	11	11	$122.00	$27.63
73522 X-ray of both hips, 3-4 views	11	11	$67.00	$14.84
70450 Ct scan head or brain without contrast	11	11	$191.00	$41.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	1,118	863	$40.00	$8.87
71020 X-ray of chest, 2 views, front and side	862	823	$49.00	$10.57
70450 Ct scan head or brain without contrast	403	387	$191.00	$41.69
71250 Ct scan of chest without contrast	328	325	$258.00	$49.69
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	286	286	$102.90	$35.18
74000 X-ray of abdomen, single view	171	156	$40.00	$8.87
74177 Ct scan of abdomen and pelvis with contrast	159	157	$412.00	$88.95
71020 X-ray of chest, 2 views, front and side	149	143	$49.00	$10.55
74022 Complete x-ray study of abdomen with single x-ray of chest	137	133	$71.00	$15.72
74176 Ct scan of abdomen and pelvis without contrast	128	127	$394.00	$85.41
71275 Ct scan of blood vessels of chest with contrast	118	116	$425.00	$88.05
71250 Ct scan of chest without contrast	111	110	$258.00	$49.47
77080 Dxa bone density measurement of hip, pelvis, spine	94	94	$51.00	$9.87
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	87	87	$103.00	$35.38
70551 Mri scan of brain without contrast	85	84	$345.00	$71.07
73502 X-ray of hip, 2-3 views	81	80	$49.00	$10.92
76705 Limited ultrasound scan of abdomen	77	77	$129.00	$28.62
77063 Screening digital tomography of both breasts	76	76	$131.00	$29.31
72125 Ct scan of upper spine without contrast	75	75	$258.00	$52.40
73564 X-ray of knee, 4 or more views	73	61	$51.00	$10.93
71260 Ct scan of chest with contrast	67	67	$275.00	$60.16
70553 Mri scan of brain before and after contrast	64	63	$560.00	$111.00
73030 X-ray of shoulder, minimum of 2 views	62	58	$43.00	$9.12
72110 X-ray of lower and sacral spine, minimum of 4 views	60	60	$70.00	$15.35
73630 X-ray of foot, minimum of 3 views	58	49	$38.00	$8.27
70498 Ct scan of blood vessels of neck with contrast	53	53	$389.00	$83.71
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	48	47	$552.00	$115.16
76775 Limited ultrasound scan behind abdominal cavity	47	47	$129.00	$28.13
72100 X-ray of lower and sacral spine, 2-3 views	46	46	$51.00	$10.93
73030 X-ray of shoulder, minimum of 2 views	44	40	$43.00	$8.85
73502 X-ray of hip, 2-3 views	42	41	$49.00	$10.94
73130 X-ray of hand, minimum of 3 views	40	36	$38.00	$8.42
72148 MRI scan of lower spinal canal	39	39	$380.00	$73.29
73110 X-ray of wrist, minimum of 3 views	38	33	$38.00	$8.56
70496 Ct scan of blood vessels of head with contrast	36	36	$389.00	$83.95
78582 Nuclear medicine study of lung ventilation and circulation	32	31	$227.00	$50.61
73610 X-ray of ankle, minimum of 3 views	31	29	$38.00	$8.56
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	30	30	$115.00	$38.42
73560 X-ray of knee, 1-2 views	30	25	$40.00	$8.20
73630 X-ray of foot, minimum of 3 views	28	24	$38.00	$8.29
72072 X-ray of middle spine, 3 views	28	27	$49.00	$10.63
72050 X-ray of upper spine, 4 or 5 views	28	28	$70.00	$15.50
73110 X-ray of wrist, minimum of 3 views	26	25	$38.00	$8.58
76770 Complete ultrasound scan behind abdominal cavity	26	26	$163.00	$36.05
76642 Limited ultrasound scan of 1 breast	26	25	$152.00	$33.34
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	25	25	$480.00	$107.60
72040 X-ray of upper spine, 2-3 views	24	24	$51.00	$10.93
74178 Ct scan of abdomen and pelvis before and after contrast	23	23	$457.00	$95.15
73721 Mri scan of leg joint without contrast	23	23	$330.00	$66.80
72141 MRI scan of upper spinal canal	21	21	$373.00	$67.30
71260 Ct scan of chest with contrast	21	20	$275.00	$61.09
76536 Ultrasound of head and neck	21	21	$122.00	$26.70
74177 Ct scan of abdomen and pelvis with contrast	21	20	$412.00	$89.23
77080 Dxa bone density measurement of hip, pelvis, spine	20	20	$51.00	$9.87
74230 Imaging for evaluation of swallowing function	20	19	$117.00	$26.07
76775 Limited ultrasound scan behind abdominal cavity	20	20	$129.00	$28.15
76700 Ultrasound of abdomen	20	20	$179.00	$39.40
76830 Ultrasound pelvis through vagina	20	20	$150.00	$34.07
73080 X-ray of elbow, minimum of 3 views	19	17	$38.00	$8.55
93880 Ultrasound of both sides of head and neck blood flow	19	19	$135.00	$37.85
73590 X-ray of lower leg, 2 views	19	18	$38.00	$8.20
76536 Ultrasound of head and neck	19	19	$122.00	$26.78
73610 X-ray of ankle, minimum of 3 views	18	17	$38.00	$8.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	17	$102.00	$21.80
71100 X-ray of ribs of one side of body, 2 views	17	17	$49.00	$10.95
70486 CT scan of face	17	17	$251.00	$40.89
73564 X-ray of knee, 4 or more views	16	11	$51.00	$10.92
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$102.00	$20.73
74020 Imaging of abdomen	15	15	$60.00	$13.43
93880 Ultrasound of both sides of head and neck blood flow	15	15	$135.00	$39.65
76705 Limited ultrasound scan of abdomen	15	15	$129.00	$28.81
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	15	15	$403.00	$57.38
73130 X-ray of hand, minimum of 3 views	15	12	$38.00	$8.58
73562 X-ray of knee, 3 views	15	13	$43.00	$9.21
73560 X-ray of knee, 1-2 views	14	14	$40.00	$8.23
76856 Complete ultrasound scan of pelvis	14	14	$151.00	$34.07
72170 X-ray of pelvis, 1-2 views	14	14	$40.00	$8.55
73552 X-ray of thigh bone, minimum 2 views	13	13	$42.00	$9.20
70450 Ct scan head or brain without contrast	13	13	$191.00	$41.76
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$70.00	$15.49
73552 X-ray of thigh bone, minimum 2 views	13	12	$42.00	$9.21
73562 X-ray of knee, 3 views	13	11	$43.00	$9.20
73060 X-ray of upper arm, minimum of 2 views	12	12	$38.00	$8.21
70491 CT scan of neck with contrast	12	12	$305.00	$64.50
73700 Ct scan of leg without contrast	12	12	$242.00	$49.11
G0297 Low dose ct scan (ldct) for lung cancer screening	12	12	$122.56	$48.85
72146 Mri scan of middle spinal canal	12	12	$370.00	$72.94
73620 X-ray of foot, 2 views	11	11	$35.00	$7.61
74183 Mri scan of abdomen before and after contrast	11	11	$498.00	$111.09
70544 Mri scan of blood vessels of head without contrast	11	11	$266.00	$59.11

Medical Specialties & State Licenses

CMS Verified: 2025-10-24

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License WV 15891

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License MO 2018035939

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License GU MTL-2023-028

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License ND 15495

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License GU MC-198

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License FL ME139826

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License WY 11756C

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License TX V6434

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License CA G194370

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64942105 (KY)

Medicaid State Provider ID

0119966000 (WV)

Medicaid State Provider ID

2047190 (OH)

Medicaid State Provider ID

550516458 (WV)

Medicaid State Provider ID

14175 (WV)

Commercial Insurance / Payer ID Umwa

0130753 (WV)

Commercial Insurance / Payer ID Group Fein #

55-0516458 (WV)

Commercial Insurance / Payer ID Acordia National Peia

550516458 (WV)

Commercial Insurance / Payer ID Brickstreet Insurance

F23457 (WV)

Commercial Insurance / Payer ID Carelink & Carelink Peia

14193 (WV)

Hospital & Practice Group Affiliations

Leconte Radiology Pc

266 Joule St, Alcoa, TN 377012422

Phone: 8659843864

Scotland Memorial Hospital, Inc

500 Lauchwood Dr, Laurinburg, NC 283525501

Phone: 8568483227

Leconte Radiology Pc

5 Stony Point Rd, Charleston, WV 253141663

Phone: 8659775567

Radiant Imaging Inc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 8332286889

Central Kentucky Radiology Pllc

5 Stony Point Rd, Charleston, WV 253141663

Phone: 8592190542

Great Plains Radiology Llc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 3083986400

Trinity Health

1 Burdick Expy W, Minot, ND 587014406

Phone: 7018575000

Chickasaw Nation Division Of Health

1921 Stonecipher Dr, Ada, OK 748203439

Phone: 5804363980

Cumberland County Hospital System Inc

None, Soddy Daisy, TN 37379

Phone: 9106154000

Leconte Radiology Pc

907 E Lamar Alexander Pkwy, Maryville, TN 378045015

Phone: 8659775567

Memorial Hospital Of Sheridan County

1401 W 5th St, Sheridan, WY 828012705

Phone: 3076721000

Columbus Regional Healthcare System

500 Jefferson St, Whiteville, NC 284723634

Phone: 9106428011

Lima Radiological Associates

5 Stony Point Rd, Charleston, WV 253141663

Phone: 4192269023

Cheyenne Radiology Group

5 Stony Point Rd, Charleston, WV 253141663

Phone: 3076347711

Spartanburg Medical Center

101 E Wood St, Spartanburg, SC 293033040

Phone: 8645606000

Radiologists Of Cape Cod Hospital

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 5088627777

Prosser Public Hospital District Of Benton County

1105 Dale Ave, Benton City, WA 993208872

Phone: 5095884075

Diagnostic Radiology Pc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 4024931212

Holyoke Medical Center Inc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 4135342523

Holyoke Medical Center Inc

575 Beech St, Holyoke, MA 010402223

Riverbend Medical Group Inc

271 Carew St, Springfield, MA 011042377

Phone: 4137489000

Hannibal Regional Healthcare System Inc

Po Box, Hannibal, MO 634011257

Phone: 5732485460

Mahaska County Hospital

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 6416723315

Guam Healthcare Development Incorporated

133 Route 3, Dededo, GU 969296911

Phone: 6716455500

Avera Mckennan

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 6053224878

Freeport Memorial Hospital

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 8155996000

Lincoln Radiology Group P C

1600 S 48th St, Lincoln, NE 685061227

Phone: 4024899400

Radiologists Of Cape Cod Hospital

35 Wilkens Ln, Hyannis, MA 026012082

Phone: 5088625000

Prosser Public Hospital District Of Benton County

723 Memorial St, Prosser, WA 993501524

Phone: 50978655995599

Guam Memorial Hospital

850 Gov Carlos G Camacho Rd, Tamuning, GU 969133128

Phone: 6716472552

Mcfarland Clinic Pc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 5152394456

Prairie Du Chien Memorial Hospital Association Inc

37868 Us Hwy 18, Prairie Du Chien, WI 538218416

Phone: 6083572000

Baptist Physician Network

3080 College St, Beaumont, TX 777014606

Phone: 4092125000

Allen Memorial Hospital Corporation

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 3192353697

Lincoln Radiology Group P C

None, Soddy Daisy, TN 37379

Phone: 4024816000

The Duluth Clinic Ltd

400 E 3rd St, Duluth, MN 558051951

Phone: 2187868364

Plains Radiology Services Llc

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 3083986400

Baptist Physician Network

3555 Stagg Dr, Beaumont, TX 777014509

Phone: 4092125922

Regional West Medical Center

3916 Reaching Way, Soddy Daisy, TN 373798256

Phone: 3086301111

Secondary Practice Locations

1 Burdick Expy W

Minot, ND 587014406

Phone: 7018575000

2305 37th Ave Sw

Minot, ND 587017669

Phone: 7018575000

6000 Hospital Drive, Radiology

Hannibal, MO 63401

Phone: 5732485301

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners

Dr. Stanley Smith , MD

Radiology - Diagnostic Radiology

NPI 1003802968

Doctor of Medicine (M.D.)

Dr. Steven Mccormack , MD

Radiology - Diagnostic Radiology

NPI 1023000338

Doctor of Medicine (M.D.)

Dr. Geoffrey Fey , MD

Radiology - Diagnostic Radiology

NPI 1053415364

Doctor of Medicine (M.D.)

Dr. Zi Rong Xu , MD

Radiology - Diagnostic Radiology

NPI 1114258191

Doctor of Medicine (M.D.)

Dr. Kara Perrelli , MD

Radiology - Diagnostic Radiology

NPI 1124196886

Doctor of Medicine (M.D.)

Dr. Bryan Suchecki , MD

Radiology - Diagnostic Radiology

NPI 1184686933

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Radiology (License #V6434 in TX)

📍

Updated Business Mailing Address October 02, 2025

Registered at 1010 N 102ND ST STE 201, OMAHA, NE 681142122 (Tel: 8332286889)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Radiology (License #MC-198 in GU)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Radiology (License #2018035939 in MO)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2024

Radiology (License #11756C in WY)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2023

Radiology (License #MTL-2023-028 in GU)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2023

Radiology (License #15891 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2023

Radiology (License #11756C in WY)

📍

Updated Practice Location February 03, 2022

Registered at 17310 WRIGHT ST STE 103, OMAHA, NE 681302405 (Tel: 8332286889)

📍

Updated Business Mailing Address February 03, 2022

Registered at 17310 WRIGHT ST STE 103, OMAHA, NE 681302405 (Tel: 8332286889)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Radiology (License #15495 in ND)

📍

Updated Practice Location November 04, 2019

Registered at 5 STONY POINT RD, CHARLESTON, WV 253141663 (Tel: 3043443457)

📍

Updated Business Mailing Address November 04, 2019

Registered at 5 STONY POINT RD, CHARLESTON, WV 253141663

✅

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2016

Registered at 1120 KANAWHA BLVD E, CHARLESTON, WV 253012400 (Tel: 3043443457)

📍

Updated Business Mailing Address October 18, 2016

Registered at PO BOX 11137, CHARLESTON, WV 253391137 (Tel: 3043443457)

👤

Provider Name / Credentials Updated October 18, 2016

Recorded as TIMOTHY CONNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Radiology (License #15891 in WV)

🟢

Initial NPI Registration & Enumeration June 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750385357

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2005

Last Update: October 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1010 N 102nd St Ste 201

Omaha, NE 681142122

Phone: 8332286889

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.