Active NPI 1962453217 Individual Practitioner Male Practitioner

Dr. Sean Stack , MD

Radiology - Vascular & Interventional Radiology • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Stack, MD is a certified Radiology - Vascular & Interventional Radiology practicing in Salem, OR. With approximately 32 years of clinical experience since graduating from Oregon Health Sciences University School Of Medicine in 1994, Dr. Stack delivers high-quality medical care to the local community at 2925 RYAN DR SE.

Dr. Stack maintains professional affiliations with Salem Clinic Pc, Portland Clinic, Salem Radiology Consultants Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, x-ray of chest, 1 view, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2925 Ryan Dr Se

Salem, OR 973019687

Telephone 5033991264

Fax 5033710777

Associated Practice Facility / Clinic

🏢 Salem Imaging Llc Facility NPI 1114978418

Medicare Profile & Education

Medical School

Oregon Health Sciences University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Vascular & Interventional Radiology in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 17.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Salem, OR (75 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (32 Years) 32 Yrs

Salem Specialty Average (18.2 Years) 18.2 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,450	14	$0.24	$0.13
71045 X-ray of chest, 1 view	163	146	$30.00	$7.81
71046 X-ray of chest, 2 views	144	141	$40.00	$9.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	82	76	$40.00	$11.20
77067 Screening mammography	74	74	$394.08	$119.77
77063 Screening digital tomography of both breasts	72	72	$155.17	$48.92
70450 Ct scan head or brain without contrast	70	69	$140.00	$36.90
71046 X-ray of chest, 2 views	69	67	$85.88	$29.55
77067 Screening mammography	55	55	$120.00	$33.52
77063 Screening digital tomography of both breasts	55	55	$90.00	$26.33
74177 Ct scan of abdomen and pelvis with contrast	48	48	$290.00	$79.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	40	39	$70.00	$16.54
76937 Ultrasonic guidance for blood vessel access	37	36	$50.00	$12.80
72100 X-ray of lower and sacral spine, 2-3 views	37	36	$40.00	$10.16
72100 X-ray of lower and sacral spine, 2-3 views	33	33	$110.73	$38.92
74230 Imaging for evaluation of swallowing function	33	33	$90.00	$23.63
71260 Ct scan of chest with contrast	29	29	$200.00	$48.85
73130 X-ray of hand, minimum of 3 views	28	22	$98.32	$33.82
73502 X-ray of hip, 2-3 views	27	27	$127.30	$46.67
73630 X-ray of foot, minimum of 3 views	26	24	$30.00	$7.61
72125 Ct scan of upper spine without contrast	26	26	$190.00	$43.92
73564 X-ray of knee, 4 or more views	25	20	$128.04	$46.75
74177 Ct scan of abdomen and pelvis with contrast	25	25	$1025.68	$300.65
75574 Ct scan of blood vessels and grafts of heart with contrast	25	25	$380.00	$106.09
73502 X-ray of hip, 2-3 views	24	23	$40.00	$10.21
76770 Complete ultrasound scan behind abdominal cavity	24	24	$120.00	$32.40
73030 X-ray of shoulder, minimum of 2 views	23	20	$30.65	$8.57
73030 X-ray of shoulder, minimum of 2 views	22	20	$91.09	$34.37
71250 Ct scan of chest without contrast	22	22	$190.00	$47.43
74018 X-ray of abdomen, 1 view	22	22	$30.00	$8.01
77065 Diagnostic mammography of 1 breast	21	21	$130.00	$36.11
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1130.00	$300.40
71275 Ct scan of blood vessels of chest with contrast	20	20	$310.00	$78.52
76705 Limited ultrasound scan of abdomen	19	19	$100.00	$25.65
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	19	19	$100.00	$26.68
73130 X-ray of hand, minimum of 3 views	18	15	$30.00	$7.95
73564 X-ray of knee, 4 or more views	18	17	$40.00	$10.55
73630 X-ray of foot, minimum of 3 views	18	15	$99.00	$32.78
71260 Ct scan of chest with contrast	18	18	$809.33	$116.31
76770 Complete ultrasound scan behind abdominal cavity	17	17	$378.82	$104.13
71271 Low dose ct scan of chest for lung cancer screening	16	16	$170.00	$45.64
73562 X-ray of knee, 3 views	15	13	$100.00	$35.27
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	14	14	$350.00	$97.11
76642 Limited ultrasound scan of 1 breast	13	13	$90.00	$30.29
76536 Ultrasound of head and neck	13	13	$360.15	$107.96
76536 Ultrasound of head and neck	13	13	$90.00	$25.15
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$940.00	$237.14
74176 Ct scan of abdomen and pelvis without contrast	12	12	$280.00	$77.36
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	12	12	$163.83	$45.70
71271 Low dose ct scan of chest for lung cancer screening	12	12	$496.00	$134.19
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$330.00	$88.96
76700 Ultrasound of abdomen	11	11	$130.00	$35.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	159	158	$40.00	$9.67
71045 X-ray of chest, 1 view	156	140	$30.00	$8.06
70450 Ct scan head or brain without contrast	95	93	$140.00	$36.16
74177 Ct scan of abdomen and pelvis with contrast	80	78	$290.00	$80.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	57	53	$40.00	$11.15
71046 X-ray of chest, 2 views	47	47	$81.06	$29.52
71260 Ct scan of chest with contrast	43	42	$200.00	$49.47
77063 Screening digital tomography of both breasts	40	40	$90.00	$26.10
77067 Screening mammography	40	40	$120.00	$32.91
71250 Ct scan of chest without contrast	38	37	$190.00	$47.38
76770 Complete ultrasound scan behind abdominal cavity	36	36	$120.00	$32.37
72125 Ct scan of upper spine without contrast	33	33	$190.00	$43.23
71275 Ct scan of blood vessels of chest with contrast	32	32	$310.00	$78.35
73502 X-ray of hip, 2-3 views	32	30	$40.00	$9.93
71271 Low dose ct scan of chest for lung cancer screening	27	27	$170.00	$46.58
74230 Imaging for evaluation of swallowing function	27	27	$90.00	$23.40
76937 Ultrasonic guidance for blood vessel access	25	23	$50.00	$12.50
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$40.00	$9.96
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	21	$70.00	$15.89
73030 X-ray of shoulder, minimum of 2 views	23	20	$86.61	$32.02
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$112.36	$37.50
76705 Limited ultrasound scan of abdomen	19	19	$100.00	$25.87
74176 Ct scan of abdomen and pelvis without contrast	19	19	$280.00	$76.43
77067 Screening mammography	18	18	$406.22	$118.79
77063 Screening digital tomography of both breasts	18	18	$155.33	$48.83
73630 X-ray of foot, minimum of 3 views	18	17	$30.00	$7.48
73030 X-ray of shoulder, minimum of 2 views	17	16	$30.88	$8.39
73130 X-ray of hand, minimum of 3 views	17	14	$30.00	$7.76
73502 X-ray of hip, 2-3 views	16	15	$111.25	$39.17
76700 Ultrasound of abdomen	15	15	$130.00	$35.05
73630 X-ray of foot, minimum of 3 views	15	14	$82.67	$29.41
76700 Ultrasound of abdomen	14	14	$431.93	$109.24
72050 X-ray of upper spine, 4 or 5 views	13	13	$148.15	$50.91
74018 X-ray of abdomen, 1 view	13	13	$30.00	$8.09
73130 X-ray of hand, minimum of 3 views	13	12	$82.31	$28.81
73562 X-ray of knee, 3 views	12	12	$30.00	$8.41
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$330.00	$87.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1130.00	$278.21
74420 Imaging of urinary tract	11	11	$60.00	$22.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	162	158	$40.00	$10.32
71045 X-ray of chest, 1 view	158	141	$30.00	$8.64
70450 Ct scan head or brain without contrast	101	96	$140.00	$38.82
74177 Ct scan of abdomen and pelvis with contrast	74	72	$290.00	$85.19
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	58	54	$40.00	$11.94
71046 X-ray of chest, 2 views	43	43	$79.00	$30.57
72125 Ct scan of upper spine without contrast	32	30	$190.00	$46.74
72100 X-ray of lower and sacral spine, 2-3 views	29	28	$40.00	$10.72
76937 Ultrasonic guidance for blood vessel access	29	28	$50.00	$13.26
76770 Complete ultrasound scan behind abdominal cavity	27	27	$120.00	$34.27
73564 X-ray of knee, 4 or more views	26	20	$109.00	$44.41
74230 Imaging for evaluation of swallowing function	26	26	$90.00	$25.10
71250 Ct scan of chest without contrast	25	25	$190.00	$50.39
74176 Ct scan of abdomen and pelvis without contrast	24	24	$280.00	$80.02
73030 X-ray of shoulder, minimum of 2 views	23	22	$30.00	$8.99
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	23	22	$70.00	$17.69
77063 Screening digital tomography of both breasts	23	23	$90.00	$28.67
77067 Screening mammography	23	23	$120.00	$35.84
77063 Screening digital tomography of both breasts	22	22	$127.55	$42.54
77067 Screening mammography	22	22	$283.77	$91.66
74018 X-ray of abdomen, 1 view	21	21	$30.00	$8.68
71275 Ct scan of blood vessels of chest with contrast	19	19	$310.00	$82.07
71260 Ct scan of chest with contrast	19	19	$200.00	$52.11
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$89.21	$35.82
73502 X-ray of hip, 2-3 views	18	18	$40.00	$10.68
73630 X-ray of foot, minimum of 3 views	17	15	$31.76	$7.99
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$1130.00	$312.02
73562 X-ray of knee, 3 views	15	12	$30.00	$9.00
70551 Mri scan of brain without contrast	14	14	$250.00	$68.67
71271 Low dose ct scan of chest for lung cancer screening	14	14	$170.00	$50.88
76705 Limited ultrasound scan of abdomen	13	11	$100.00	$27.69
73030 X-ray of shoulder, minimum of 2 views	12	12	$77.50	$31.43
73630 X-ray of foot, minimum of 3 views	12	11	$82.00	$31.06
76700 Ultrasound of abdomen	12	12	$130.00	$37.54
72050 X-ray of upper spine, 4 or 5 views	12	12	$133.25	$51.99
72170 X-ray of pelvis, 1-2 views	11	11	$30.00	$8.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	328	246	$30.00	$8.82
71046 X-ray of chest, 2 views	156	154	$40.00	$10.60
70450 Ct scan head or brain without contrast	100	98	$140.00	$40.01
74177 Ct scan of abdomen and pelvis with contrast	67	66	$290.00	$87.07
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	65	61	$40.00	$12.13
72100 X-ray of lower and sacral spine, 2-3 views	47	47	$40.00	$10.93
77067 Screening mammography	43	43	$120.00	$37.01
77063 Screening digital tomography of both breasts	43	43	$90.00	$29.34
74230 Imaging for evaluation of swallowing function	39	39	$90.00	$25.36
72125 Ct scan of upper spine without contrast	32	32	$190.00	$47.50
74176 Ct scan of abdomen and pelvis without contrast	31	31	$280.00	$84.04
73502 X-ray of hip, 2-3 views	31	31	$40.00	$10.94
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	29	$70.00	$18.16
76770 Complete ultrasound scan behind abdominal cavity	28	28	$120.00	$35.33
76937 Ultrasonic guidance for blood vessel access	28	27	$50.00	$13.62
71275 Ct scan of blood vessels of chest with contrast	27	27	$310.00	$86.48
73630 X-ray of foot, minimum of 3 views	24	21	$30.00	$8.16
71260 Ct scan of chest with contrast	24	23	$200.00	$54.29
73030 X-ray of shoulder, minimum of 2 views	22	20	$30.00	$9.19
71046 X-ray of chest, 2 views	20	20	$81.00	$32.50
76700 Ultrasound of abdomen	19	19	$130.00	$38.30
73610 X-ray of ankle, minimum of 3 views	18	17	$30.00	$8.49
74018 X-ray of abdomen, 1 view	17	15	$30.00	$8.63
71250 Ct scan of chest without contrast	16	16	$190.00	$51.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1130.00	$323.59
76705 Limited ultrasound scan of abdomen	14	13	$100.00	$27.86
73562 X-ray of knee, 3 views	13	11	$30.00	$9.17
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$940.00	$248.47
72070 X-ray of middle spine, 2 views	12	12	$40.00	$9.88
77067 Screening mammography	11	11	$352.00	$127.91
32555 Aspiration of fluid from chest cavity using imaging guidance	11	11	$490.00	$103.92
74420 Imaging of urinary tract	11	11	$60.00	$24.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	317	265	$27.95	$9.21
71046 X-ray of chest, 2 views	173	170	$35.43	$10.94
77063 Screening digital tomography of both breasts	94	94	$82.66	$30.37
77067 Screening mammography	94	94	$107.50	$38.80
70450 Ct scan head or brain without contrast	90	87	$126.20	$41.98
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	85	80	$33.65	$12.33
74177 Ct scan of abdomen and pelvis with contrast	57	57	$264.91	$91.73
76770 Complete ultrasound scan behind abdominal cavity	43	43	$111.81	$36.15
74230 Imaging for evaluation of swallowing function	40	40	$82.20	$26.78
73030 X-ray of shoulder, minimum of 2 views	36	31	$26.93	$9.59
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$36.93	$11.14
76937 Ultrasonic guidance for blood vessel access	33	31	$45.12	$14.50
73502 X-ray of hip, 2-3 views	29	28	$37.59	$11.16
74176 Ct scan of abdomen and pelvis without contrast	29	29	$245.86	$87.84
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	29	29	$59.45	$18.71
72125 Ct scan of upper spine without contrast	28	27	$173.29	$50.00
71260 Ct scan of chest with contrast	28	28	$184.14	$60.78
77012 Review by radiologist of ct guidance for needle placement	27	27	$162.59	$74.23
71275 Ct scan of blood vessels of chest with contrast	26	24	$280.00	$91.41
74018 X-ray of abdomen, 1 view	25	24	$28.00	$8.93
71046 X-ray of chest, 2 views	24	24	$77.33	$30.90
49083 Drainage of fluid from abdominal cavity using imaging guidance	22	15	$298.64	$106.89
73564 X-ray of knee, 4 or more views	21	16	$35.71	$11.07
76705 Limited ultrasound scan of abdomen	20	20	$89.25	$29.19
71250 Ct scan of chest without contrast	20	20	$172.00	$57.92
76700 Ultrasound of abdomen	18	18	$122.33	$39.70
73562 X-ray of knee, 3 views	17	13	$29.03	$9.59
G0297 Low dose ct scan (ldct) for lung cancer screening	17	17	$147.65	$51.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$961.33	$336.61
73630 X-ray of foot, minimum of 3 views	15	11	$27.67	$8.10
77065 Diagnostic mammography of 1 breast	15	14	$121.67	$41.21
76536 Ultrasound of head and neck	14	14	$84.29	$26.81
73610 X-ray of ankle, minimum of 3 views	14	12	$25.50	$8.87
73130 X-ray of hand, minimum of 3 views	14	11	$26.50	$8.86
77067 Screening mammography	14	14	$342.00	$133.85
77063 Screening digital tomography of both breasts	13	13	$138.00	$54.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$105.15	$32.11
32555 Aspiration of fluid from chest cavity using imaging guidance	12	12	$423.33	$113.46
73552 X-ray of thigh bone, minimum 2 views	12	12	$26.50	$9.19
72040 X-ray of upper spine, 2-3 views	12	11	$36.50	$11.43
32405 Needle biopsy of lung or chest tissue, accessed through the skin	11	11	$265.00	$90.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	312	252	$25.00	$9.01
71046 X-ray of chest, 2 views	178	177	$30.00	$10.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	109	101	$30.00	$12.07
70450 Ct scan head or brain without contrast	94	92	$113.00	$40.61
74177 Ct scan of abdomen and pelvis with contrast	65	63	$235.54	$90.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	54	50	$53.00	$18.22
76937 Ultrasonic guidance for blood vessel access	52	49	$43.00	$14.12
71046 X-ray of chest, 2 views	45	44	$33.60	$14.25
74176 Ct scan of abdomen and pelvis without contrast	39	37	$225.00	$86.68
74230 Imaging for evaluation of swallowing function	35	35	$71.57	$26.51
76700 Ultrasound of abdomen	34	34	$107.00	$38.50
71260 Ct scan of chest with contrast	32	31	$163.00	$58.38
71275 Ct scan of blood vessels of chest with contrast	27	27	$250.00	$87.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	27	$900.00	$320.20
77067 Screening mammography	27	27	$224.11	$89.84
72125 Ct scan of upper spine without contrast	27	27	$154.00	$50.36
77012 Review by radiologist of ct guidance for needle placement	25	25	$153.00	$73.25
71250 Ct scan of chest without contrast	24	24	$150.00	$57.02
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	23	21	$750.00	$255.86
77063 Screening digital tomography of both breasts	22	22	$93.00	$41.49
73502 X-ray of hip, 2-3 views	21	21	$30.00	$11.19
76770 Complete ultrasound scan behind abdominal cavity	21	20	$98.00	$36.41
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$30.50	$11.22
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$46.53	$19.77
G0297 Low dose ct scan (ldct) for lung cancer screening	17	17	$130.00	$50.67
74018 X-ray of abdomen, 1 view	16	15	$25.00	$9.07
77067 Screening mammography	16	16	$95.00	$37.51
73630 X-ray of foot, minimum of 3 views	15	13	$23.00	$8.40
73552 X-ray of thigh bone, minimum 2 views	14	13	$24.00	$8.00
72170 X-ray of pelvis, 1-2 views	13	13	$22.50	$8.29
73502 X-ray of hip, 2-3 views	13	13	$45.23	$20.57
77063 Screening digital tomography of both breasts	13	13	$75.00	$29.54
70498 Ct scan of blood vessels of neck with contrast	11	11	$230.00	$84.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	319	261	$25.00	$8.98
71046 X-ray of chest, 2 views	224	215	$30.00	$10.79
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	99	87	$30.00	$12.43
70450 Ct scan head or brain without contrast	88	85	$113.00	$40.80
76937 Ultrasonic guidance for blood vessel access	50	43	$43.00	$14.26
74177 Ct scan of abdomen and pelvis with contrast	46	45	$235.00	$90.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	39	37	$53.00	$18.39
71046 X-ray of chest, 2 views	39	39	$24.00	$10.87
72125 Ct scan of upper spine without contrast	36	36	$154.00	$52.29
77067 Screening mammography	35	35	$229.86	$92.41
74176 Ct scan of abdomen and pelvis without contrast	35	35	$225.00	$86.38
74230 Imaging for evaluation of swallowing function	33	31	$71.64	$26.46
77063 Screening digital tomography of both breasts	31	31	$98.39	$45.13
73502 X-ray of hip, 2-3 views	31	30	$30.00	$11.16
71275 Ct scan of blood vessels of chest with contrast	29	29	$250.00	$89.56
71250 Ct scan of chest without contrast	28	28	$150.00	$57.31
76770 Complete ultrasound scan behind abdominal cavity	28	27	$98.00	$36.30
77067 Screening mammography	26	26	$95.00	$37.47
71260 Ct scan of chest with contrast	24	24	$163.00	$59.51
77012 Review by radiologist of ct guidance for needle placement	23	21	$153.00	$56.74
74018 X-ray of abdomen, 1 view	21	20	$25.00	$9.05
76700 Ultrasound of abdomen	21	21	$107.00	$39.92
72100 X-ray of lower and sacral spine, 2-3 views	20	19	$30.50	$11.18
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	19	$857.15	$321.37
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	15	$750.00	$249.44
72170 X-ray of pelvis, 1-2 views	14	14	$22.50	$8.70
74022 Complete x-ray study of abdomen with single x-ray of chest	14	14	$42.00	$16.02
32405 Needle biopsy of lung or chest tissue, accessed through the skin	13	11	$265.00	$90.73
76770 Complete ultrasound scan behind abdominal cavity	13	13	$270.00	$88.48
73630 X-ray of foot, minimum of 3 views	13	12	$23.00	$8.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	342	259	$24.04	$9.03
71020 X-ray of chest, 2 views, front and side	201	194	$29.50	$10.67
70450 Ct scan head or brain without contrast	94	94	$113.65	$41.72
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	88	77	$38.13	$11.81
74177 Ct scan of abdomen and pelvis with contrast	53	53	$235.00	$90.24
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	52	51	$188.71	$78.24
76937 Ultrasonic guidance for blood vessel access	34	32	$43.00	$13.41
77063 Screening digital tomography of both breasts	34	34	$100.74	$45.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	32	30	$53.00	$17.53
71020 X-ray of chest, 2 views, front and side	30	29	$25.87	$10.55
71260 Ct scan of chest with contrast	30	30	$163.00	$59.77
74176 Ct scan of abdomen and pelvis without contrast	29	28	$226.17	$84.30
74230 Imaging for evaluation of swallowing function	28	28	$70.50	$26.34
73502 X-ray of hip, 2-3 views	28	28	$28.00	$11.16
76700 Ultrasound of abdomen	26	26	$107.00	$39.72
77012 Review by radiologist of ct guidance for needle placement	23	22	$153.00	$56.47
72100 X-ray of lower and sacral spine, 2-3 views	22	22	$31.16	$10.85
74000 X-ray of abdomen, single view	21	21	$23.50	$9.03
72125 Ct scan of upper spine without contrast	21	21	$154.00	$53.15
71275 Ct scan of blood vessels of chest with contrast	20	20	$250.00	$90.34
76770 Complete ultrasound scan behind abdominal cavity	19	19	$98.00	$36.46
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	18	17	$315.00	$118.18
82565 Blood creatinine level	17	17	$20.00	$6.89
74022 Complete x-ray study of abdomen with single x-ray of chest	17	16	$42.00	$15.92
71250 Ct scan of chest without contrast	16	15	$154.00	$49.96
73630 X-ray of foot, minimum of 3 views	16	15	$23.00	$8.34
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	15	15	$95.00	$36.28
74420 Imaging of urinary tract	14	14	$48.50	$17.46
73562 X-ray of knee, 3 views	14	12	$24.50	$9.40
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$900.00	$314.99
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$750.00	$247.09
73030 X-ray of shoulder, minimum of 2 views	12	11	$23.50	$9.39
73610 X-ray of ankle, minimum of 3 views	11	11	$23.00	$8.20
72170 X-ray of pelvis, 1-2 views	11	11	$22.50	$8.11

Medical Specialties & State Licenses

CMS Verified: 2023-11-22

Radiology - Vascular & Interventional Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0204X

State License OR MD20801

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License OR 20801

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

288438 (OR)

Hospital & Practice Group Affiliations

Pacific Imaging Associates Llc

1015 Nw 22nd Ave, Portland, OR 972103025

Phone: 5034137800

Portland Clinic

800 Sw 13th Ave, Portland, OR 972051902

Phone: 50322101612110

Salem Clinic Pc

2020 Capitol St Ne, Salem, OR 973010644

Phone: 5033992424

Salem Radiology Consultants Pc

2925 Ryan Dr Se, Salem, OR 973019687

Phone: 5033991262

Salem Radiology Consultants Pc

525 Se Washington St, Dallas, OR 973382834

Phone: 5036237302

Pacific Imaging Associates Llc

4196 Illahe Hill Rd S, Salem, OR 973029623

Phone: 5034137800

Pacific Imaging Associates Llc

342 Fairview St, Silverton, OR 973811917

Phone: 9713402758

Salem Clinic Pc

2531 Boone Rd Se, Salem, OR 973069675

Phone: 5033992424

Pacific Imaging Associates Llc

24800 Se Stark St, Gresham, OR 970303378

Phone: 5034137800

Salem Clinic Pc

5900 Inland Shores Way N, Keizer, OR 973033883

Phone: 5033992424

Practice Associates & Co-Workers

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

21 Associated Practitioners

Dr. Michael Smolin , MD

Radiology - Diagnostic Radiology

NPI 1013969450

Doctor of Medicine (M.D.)

Dr. Gary Jones , MD

Radiology - Diagnostic Radiology

NPI 1053363432

Doctor of Medicine (M.D.)

Dr. Thomas Cullen , MD

Radiology - Pediatric Radiology

NPI 1124347117

Doctor of Medicine (M.D.)

Dr. David Harrison , MD

Radiology - Diagnostic Radiology

NPI 1144272527

Doctor of Medicine (M.D.)

Dr. Maxwell Abbott , MD

Radiology - Diagnostic Radiology

NPI 1174535090

Doctor of Medicine (M.D.)

Dr. Travis Fromwiller , MD

Radiology - Diagnostic Radiology

NPI 1184671620

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2008

Registered at 2925 RYAN DR SE, SALEM, OR 973019687 (Tel: 5033991264)

📍

Updated Business Mailing Address May 09, 2008

Registered at 2925 RYAN DR SE, SALEM, OR 973019687 (Tel: 5033991264)

👤

Provider Name / Credentials Updated May 09, 2008

Recorded as SEAN STACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2008

Radiology (License #20801 in OR)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1962453217

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: November 22, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2925 Ryan Dr Se

Salem, OR 973019687

Phone: 5033991264

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.