Active NPI 1326087487 Individual Practitioner Male Practitioner

Dr. John L Wade , MD

Radiology - Diagnostic Radiology • Hilo, HI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Wade, MD is a certified Radiology - Diagnostic Radiology practicing in Hilo, HI. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Wade delivers high-quality medical care to the local community at 688 KINOOLE ST STE 103.

Dr. Wade maintains professional affiliations with Sonoran Radiology Ltd, Southwest Diagnostic Imaging Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, gadoterate meglumine, 0.1 ml, low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, screening mammography. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

688 Kinoole St Ste 103

Hilo, HI 967203868

Telephone 8089698010

Fax 9036637394

Associated Practice Facility / Clinic

🏢 Southwestern Vermont Medical Center Inc Facility NPI 1629010194

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Hilo, HI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +4.1 yrs vs City Avg

City Avg: 31.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Hilo, HI (177 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wade (36 Years) 36 Yrs

Hilo Specialty Average (31.9 Years) 31.9 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
A9575 Injection, gadoterate meglumine, 0.1 ml	10,100	63	$2.00	$0.12
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,825	59	$2.00	$0.13
77067 Screening mammography	1,407	1,407	$590.00	$122.14
77063 Screening digital tomography of both breasts	1,397	1,397	$244.00	$49.82
77080 Dxa bone density measurement of hip, pelvis, spine	908	908	$174.86	$37.10
76536 Ultrasound of head and neck	758	751	$511.79	$104.34
76700 Ultrasound of abdomen	487	484	$537.94	$110.03
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	409	402	$244.00	$45.56
76770 Complete ultrasound scan behind abdominal cavity	376	371	$502.07	$102.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	372	368	$546.19	$112.84
71045 X-ray of chest, 1 view	351	327	$153.00	$8.07
76641 Complete ultrasound scan of 1 breast	218	218	$667.36	$137.64
93970 Ultrasound study of arm or leg veins with compression and maneuvers	218	211	$863.00	$177.93
77065 Diagnostic mammography of 1 breast	208	204	$576.00	$119.91
77066 Diagnostic mammography of both breasts	205	205	$727.00	$151.87
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	198	170	$196.04	$60.80
70450 Ct scan head or brain without contrast	193	190	$554.00	$37.67
76857 Limited ultrasound scan of pelvis	140	137	$225.26	$45.31
76642 Limited ultrasound scan of 1 breast	132	130	$407.89	$84.78
75571 Ct scan of heart with evaluation of blood vessel calcium	128	128	$473.00	$96.50
74177 Ct scan of abdomen and pelvis with contrast	121	120	$1461.86	$82.32
76706 Ultrasound scan of abdominal aorta	119	119	$491.00	$101.69
76830 Ultrasound pelvis through vagina	114	111	$552.14	$113.46
72110 X-ray of lower and sacral spine, minimum of 4 views	103	100	$235.98	$49.47
71046 X-ray of chest, 2 views	97	97	$155.47	$31.84
74018 X-ray of abdomen, 1 view	89	86	$138.00	$29.00
76775 Limited ultrasound scan behind abdominal cavity	82	82	$272.00	$56.55
72100 X-ray of lower and sacral spine, 2-3 views	59	59	$183.32	$36.45
76705 Limited ultrasound scan of abdomen	58	58	$406.72	$78.64
76705 Limited ultrasound scan of abdomen	57	57	$420.00	$26.01
76770 Complete ultrasound scan behind abdominal cavity	57	57	$516.00	$33.30
77049 Mri of both breasts with and without contrast	56	56	$1648.00	$333.45
93970 Ultrasound study of arm or leg veins with compression and maneuvers	55	55	$622.00	$31.27
71260 Ct scan of chest with contrast	55	55	$776.00	$50.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	54	54	$397.00	$20.03
71275 Ct scan of blood vessels of chest with contrast	49	48	$1448.00	$81.66
74176 Ct scan of abdomen and pelvis without contrast	48	48	$859.36	$176.14
74018 X-ray of abdomen, 1 view	48	47	$153.00	$8.40
76870 Ultrasound scan of scrotum	47	47	$466.00	$93.20
73030 X-ray of shoulder, minimum of 2 views	44	42	$159.00	$33.55
74176 Ct scan of abdomen and pelvis without contrast	44	44	$1406.00	$78.48
71250 Ct scan of chest without contrast	42	42	$634.00	$129.10
73564 X-ray of knee, 4 or more views	42	29	$212.43	$40.47
72125 Ct scan of upper spine without contrast	41	41	$688.00	$44.23
76981 Elastography ultrasound of organ tissue	40	40	$479.00	$99.84
73110 X-ray of wrist, minimum of 3 views	40	33	$188.00	$39.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	39	39	$2323.00	$472.23
73502 X-ray of hip, 2-3 views	37	37	$215.78	$43.70
72129 Ct scan of middle spine with contrast	37	37	$795.00	$52.78
73610 X-ray of ankle, minimum of 3 views	36	33	$166.46	$34.29
72132 Ct scan of lower spine with contrast	36	36	$728.00	$52.51
73562 X-ray of knee, 3 views	36	28	$187.00	$39.28
74019 X-ray of abdomen, 2 views	34	34	$170.00	$35.16
74177 Ct scan of abdomen and pelvis with contrast	32	32	$1458.00	$299.19
73502 X-ray of hip, 2-3 views	31	31	$212.00	$10.33
71250 Ct scan of chest without contrast	31	31	$696.00	$48.09
71046 X-ray of chest, 2 views	31	31	$178.00	$10.02
76856 Complete ultrasound scan of pelvis	29	29	$488.00	$93.56
72114 X-ray lower and sacral spine, minimum of 6 views	27	27	$282.33	$55.39
93880 Ultrasound of both sides of head and neck blood flow	27	27	$857.22	$164.14
72072 X-ray of middle spine, 3 views	22	21	$179.18	$36.72
19081 Biopsy of breast accessed through the skin with stereotactic guidance	22	22	$2324.00	$458.68
72131 CT scan of lower spine	21	21	$649.00	$43.65
73630 X-ray of foot, minimum of 3 views	21	19	$158.00	$32.88
73562 X-ray of knee, 3 views	20	18	$139.65	$8.70
70450 Ct scan head or brain without contrast	20	20	$486.06	$92.35
Q3001 Radioelements for brachytherapy, any type, each	19	18	$467.00	$121.19
72050 X-ray of upper spine, 4 or 5 views	19	19	$242.37	$47.34
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	18	18	$1114.00	$230.61
93880 Ultrasound of both sides of head and neck blood flow	18	18	$715.00	$35.98
73030 X-ray of shoulder, minimum of 2 views	18	18	$146.00	$8.70
71275 Ct scan of blood vessels of chest with contrast	17	17	$1340.00	$252.90
71260 Ct scan of chest with contrast	15	15	$794.00	$117.81
73560 X-ray of knee, 1-2 views	15	14	$141.00	$7.74
74221 Double contrast x-ray of esophagus	15	15	$515.00	$105.21
73552 X-ray of thigh bone, minimum 2 views	14	14	$173.57	$8.40
73560 X-ray of knee, 1-2 views	14	12	$165.64	$29.30
72040 X-ray of upper spine, 2-3 views	14	14	$182.36	$36.12
73552 X-ray of thigh bone, minimum 2 views	13	13	$163.85	$32.21
72170 X-ray of pelvis, 1-2 views	13	13	$133.00	$8.08
72128 CT scan of middle spine	12	12	$681.00	$43.20
74230 Imaging for evaluation of swallowing function	12	12	$281.00	$24.27
73630 X-ray of foot, minimum of 3 views	11	11	$121.00	$7.75
74246 X-ray of upper digestive tract with contrast	11	11	$650.00	$133.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	8,550	57	$2.00	$0.14
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,975	32	$2.00	$0.15
77067 Screening mammography	2,123	2,123	$431.00	$125.38
77063 Screening digital tomography of both breasts	2,111	2,111	$176.00	$51.74
77080 Dxa bone density measurement of hip, pelvis, spine	1,333	1,333	$363.00	$36.99
71045 X-ray of chest, 1 view	731	692	$139.00	$8.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	388	384	$176.00	$51.63
76536 Ultrasound of head and neck	369	368	$246.27	$107.82
70450 Ct scan head or brain without contrast	286	279	$504.00	$38.79
77066 Diagnostic mammography of both breasts	240	239	$446.00	$153.82
76700 Ultrasound of abdomen	237	235	$326.65	$113.50
76641 Complete ultrasound scan of 1 breast	233	231	$409.06	$139.98
71046 X-ray of chest, 2 views	231	227	$108.91	$31.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	224	224	$416.03	$114.65
77065 Diagnostic mammography of 1 breast	193	190	$388.00	$122.82
76770 Complete ultrasound scan behind abdominal cavity	150	150	$317.00	$106.27
76642 Limited ultrasound scan of 1 breast	143	143	$270.69	$88.67
74177 Ct scan of abdomen and pelvis with contrast	140	139	$1337.00	$85.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	128	126	$566.00	$181.97
75571 Ct scan of heart with evaluation of blood vessel calcium	121	121	$310.83	$99.18
76706 Ultrasound scan of abdominal aorta	96	96	$269.00	$104.40
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	94	80	$159.84	$41.54
74018 X-ray of abdomen, 1 view	93	90	$97.90	$28.89
76857 Limited ultrasound scan of pelvis	91	90	$249.00	$45.19
72125 Ct scan of upper spine without contrast	90	90	$625.00	$45.13
74018 X-ray of abdomen, 1 view	85	79	$139.00	$8.61
74176 Ct scan of abdomen and pelvis without contrast	84	84	$1278.00	$81.81
71275 Ct scan of blood vessels of chest with contrast	75	75	$1316.00	$84.37
76830 Ultrasound pelvis through vagina	66	65	$273.00	$117.73
71250 Ct scan of chest without contrast	63	62	$633.00	$49.60
71260 Ct scan of chest with contrast	57	57	$705.00	$52.28
73502 X-ray of hip, 2-3 views	57	57	$212.00	$10.46
73502 X-ray of hip, 2-3 views	55	55	$142.04	$43.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	52	$607.00	$32.43
73562 X-ray of knee, 3 views	52	44	$114.13	$39.12
77049 Mri of both breasts with and without contrast	51	50	$2710.00	$351.19
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	51	50	$418.00	$20.84
71046 X-ray of chest, 2 views	47	47	$162.00	$10.29
72110 X-ray of lower and sacral spine, minimum of 4 views	45	45	$171.09	$46.82
Q3001 Radioelements for brachytherapy, any type, each	44	31	$285.23	$95.94
73030 X-ray of shoulder, minimum of 2 views	44	39	$114.20	$30.65
93880 Ultrasound of both sides of head and neck blood flow	44	44	$577.00	$186.40
72132 Ct scan of lower spine with contrast	39	39	$662.00	$54.22
76770 Complete ultrasound scan behind abdominal cavity	39	39	$469.00	$34.19
72129 Ct scan of middle spine with contrast	38	38	$723.00	$54.49
73562 X-ray of knee, 3 views	38	35	$121.00	$8.94
73110 X-ray of wrist, minimum of 3 views	37	29	$106.22	$38.31
72170 X-ray of pelvis, 1-2 views	37	37	$121.00	$8.28
73030 X-ray of shoulder, minimum of 2 views	36	35	$133.00	$8.94
76705 Limited ultrasound scan of abdomen	36	36	$382.00	$27.25
72100 X-ray of lower and sacral spine, 2-3 views	35	35	$133.97	$34.22
73552 X-ray of thigh bone, minimum 2 views	35	33	$147.00	$8.61
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	34	34	$1277.00	$494.90
73564 X-ray of knee, 4 or more views	32	24	$126.13	$43.23
76098 X-ray of surgical specimen	32	31	$92.00	$14.91
74176 Ct scan of abdomen and pelvis without contrast	31	31	$1452.00	$185.88
73560 X-ray of knee, 1-2 views	28	27	$128.00	$7.75
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	28	28	$727.89	$237.21
76705 Limited ultrasound scan of abdomen	26	26	$251.00	$84.23
72100 X-ray of lower and sacral spine, 2-3 views	26	25	$158.00	$10.61
74177 Ct scan of abdomen and pelvis with contrast	24	24	$1863.00	$305.82
74230 Imaging for evaluation of swallowing function	24	24	$255.00	$25.16
70486 CT scan of face	24	24	$633.00	$38.65
73610 X-ray of ankle, minimum of 3 views	24	21	$106.83	$33.80
76775 Limited ultrasound scan behind abdominal cavity	24	24	$253.79	$56.02
76981 Elastography ultrasound of organ tissue	24	23	$2465.00	$102.03
73610 X-ray of ankle, minimum of 3 views	23	22	$111.52	$8.28
74019 X-ray of abdomen, 2 views	23	23	$116.65	$35.10
72131 CT scan of lower spine	23	23	$590.00	$44.58
76870 Ultrasound scan of scrotum	23	23	$267.00	$97.73
73630 X-ray of foot, minimum of 3 views	22	19	$106.36	$31.12
73630 X-ray of foot, minimum of 3 views	20	18	$110.00	$7.96
73590 X-ray of lower leg, 2 views	20	19	$110.00	$7.62
72128 CT scan of middle spine	19	19	$619.00	$44.41
72040 X-ray of upper spine, 2-3 views	19	19	$122.00	$38.79
72020 X-ray of spine, 1 view	19	19	$98.00	$7.62
71250 Ct scan of chest without contrast	18	18	$664.00	$132.71
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	16	16	$1637.00	$102.49
76856 Complete ultrasound scan of pelvis	15	15	$273.00	$88.88
93880 Ultrasound of both sides of head and neck blood flow	15	15	$753.00	$37.37
73110 X-ray of wrist, minimum of 3 views	15	15	$110.00	$8.28
70450 Ct scan head or brain without contrast	15	15	$547.00	$100.51
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$1284.00	$495.01
73700 Ct scan of leg without contrast	13	13	$590.00	$45.95
74221 Double contrast x-ray of esophagus	12	12	$353.00	$109.62
73080 X-ray of elbow, minimum of 3 views	12	11	$110.00	$8.28
72050 X-ray of upper spine, 4 or 5 views	11	11	$168.18	$48.61
73130 X-ray of hand, minimum of 3 views	11	11	$116.00	$8.28
74220 Single contrast x-ray of esophagus	11	11	$238.00	$28.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	9,780	66	$1.94	$0.14
77067 Screening mammography	1,701	1,701	$444.40	$130.13
77063 Screening digital tomography of both breasts	1,684	1,684	$162.75	$53.14
77080 Dxa bone density measurement of hip, pelvis, spine	1,406	1,391	$353.31	$36.61
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	384	380	$166.17	$52.85
76641 Complete ultrasound scan of 1 breast	381	289	$302.98	$120.48
71045 X-ray of chest, 1 view	364	327	$94.33	$8.93
77066 Diagnostic mammography of both breasts	264	263	$472.79	$160.54
77065 Diagnostic mammography of 1 breast	199	191	$407.42	$127.84
76642 Limited ultrasound scan of 1 breast	145	133	$257.76	$88.99
70450 Ct scan head or brain without contrast	135	134	$340.92	$40.37
71046 X-ray of chest, 2 views	104	103	$118.32	$34.77
77049 Mri of both breasts with and without contrast	56	56	$2710.00	$360.36
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	48	48	$1324.83	$527.95
74177 Ct scan of abdomen and pelvis with contrast	41	41	$982.24	$88.45
72125 Ct scan of upper spine without contrast	37	37	$447.19	$47.26
73562 X-ray of knee, 3 views	32	29	$123.84	$42.21
74176 Ct scan of abdomen and pelvis without contrast	31	30	$985.35	$81.40
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	28	26	$106.00	$55.79
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	28	28	$257.43	$21.75
71275 Ct scan of blood vessels of chest with contrast	27	27	$900.59	$87.55
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	27	$392.92	$121.74
74018 X-ray of abdomen, 1 view	26	24	$121.88	$8.59
76098 X-ray of surgical specimen	23	21	$84.00	$15.26
73564 X-ray of knee, 4 or more views	22	19	$153.91	$48.62
73502 X-ray of hip, 2-3 views	22	22	$129.50	$46.82
76536 Ultrasound of head and neck	20	20	$281.55	$110.54
71046 X-ray of chest, 2 views	20	20	$110.55	$10.70
76770 Complete ultrasound scan behind abdominal cavity	20	20	$291.70	$118.42
71250 Ct scan of chest without contrast	20	20	$461.50	$51.48
76700 Ultrasound of abdomen	19	19	$315.47	$122.35
73502 X-ray of hip, 2-3 views	18	17	$141.11	$11.12
73030 X-ray of shoulder, minimum of 2 views	17	14	$117.24	$35.77
76770 Complete ultrasound scan behind abdominal cavity	17	17	$364.41	$35.41
Q3001 Radioelements for brachytherapy, any type, each	16	14	$200.00	$100.49
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$1284.00	$472.63
77081 Dxa bone density measurement of forearm, finger, hand, or foot	14	14	$151.57	$33.84
71260 Ct scan of chest with contrast	13	13	$641.00	$52.82
73030 X-ray of shoulder, minimum of 2 views	13	13	$97.46	$9.31
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$524.54	$33.73
19281 Placement of breast localization devices accessed through the skin with mammographic guidance	13	13	$568.46	$222.93
72170 X-ray of pelvis, 1-2 views	13	13	$96.00	$8.55
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$545.67	$188.95
74018 X-ray of abdomen, 1 view	11	11	$104.27	$32.04
71250 Ct scan of chest without contrast	11	11	$643.09	$122.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,456	20	$0.60	$0.12
77067 Screening mammography	1,238	1,238	$537.70	$151.67
77063 Screening digital tomography of both breasts	1,208	1,208	$65.00	$60.96
77080 Dxa bone density measurement of hip, pelvis, spine	654	654	$290.00	$43.58
71045 X-ray of chest, 1 view	513	426	$19.21	$9.43
76641 Complete ultrasound scan of 1 breast	435	287	$199.00	$119.61
70450 Ct scan head or brain without contrast	217	208	$89.81	$42.01
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	167	167	$65.00	$60.10
71046 X-ray of chest, 2 views	147	147	$137.00	$37.39
77065 Diagnostic mammography of 1 breast	122	118	$526.00	$146.21
77066 Diagnostic mammography of both breasts	115	115	$667.00	$182.09
74177 Ct scan of abdomen and pelvis with contrast	109	104	$255.23	$93.68
71046 X-ray of chest, 2 views	82	81	$23.00	$11.30
74176 Ct scan of abdomen and pelvis without contrast	76	75	$239.59	$89.58
76536 Ultrasound of head and neck	64	63	$483.00	$132.85
73502 X-ray of hip, 2-3 views	54	49	$25.00	$11.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	51	50	$46.63	$22.64
72125 Ct scan of upper spine without contrast	48	48	$123.60	$50.52
76642 Limited ultrasound scan of 1 breast	47	37	$199.00	$98.20
76770 Complete ultrasound scan behind abdominal cavity	42	42	$271.00	$123.94
74018 X-ray of abdomen, 1 view	42	41	$19.33	$9.29
76770 Complete ultrasound scan behind abdominal cavity	40	39	$77.00	$36.93
73562 X-ray of knee, 3 views	36	31	$20.42	$9.87
73564 X-ray of knee, 4 or more views	35	30	$171.00	$52.68
73502 X-ray of hip, 2-3 views	33	33	$94.00	$53.55
71275 Ct scan of blood vessels of chest with contrast	32	32	$199.00	$92.20
73564 X-ray of knee, 4 or more views	30	29	$24.00	$11.71
71260 Ct scan of chest with contrast	29	29	$129.00	$56.54
73030 X-ray of shoulder, minimum of 2 views	28	27	$19.00	$9.88
93880 Ultrasound of both sides of head and neck blood flow	28	27	$64.46	$40.49
76705 Limited ultrasound scan of abdomen	28	27	$62.00	$29.84
76981 Elastography ultrasound of organ tissue	28	28	$428.00	$123.25
76700 Ultrasound of abdomen	28	27	$286.00	$139.26
74018 X-ray of abdomen, 1 view	28	28	$113.00	$33.98
70551 Mri scan of brain without contrast	27	27	$156.00	$74.73
77080 Dxa bone density measurement of hip, pelvis, spine	26	26	$32.00	$9.98
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	25	$1605.00	$646.82
73562 X-ray of knee, 3 views	23	19	$149.00	$43.19
73030 X-ray of shoulder, minimum of 2 views	21	20	$125.00	$37.80
71250 Ct scan of chest without contrast	20	20	$121.00	$54.50
93880 Ultrasound of both sides of head and neck blood flow	20	20	$456.00	$228.85
70450 Ct scan head or brain without contrast	20	18	$482.00	$125.18
72131 CT scan of lower spine	17	17	$122.00	$49.39
76857 Limited ultrasound scan of pelvis	17	17	$202.00	$49.04
73552 X-ray of thigh bone, minimum 2 views	17	13	$21.00	$9.45
70553 Mri scan of brain before and after contrast	16	16	$247.00	$117.84
73630 X-ray of foot, minimum of 3 views	16	16	$19.00	$8.72
73110 X-ray of wrist, minimum of 3 views	16	16	$19.00	$9.14
76705 Limited ultrasound scan of abdomen	15	15	$223.00	$104.16
72170 X-ray of pelvis, 1-2 views	15	15	$19.00	$9.12
76856 Complete ultrasound scan of pelvis	14	14	$255.00	$119.25
76706 Ultrasound scan of abdominal aorta	13	13	$214.00	$127.20
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	13	13	$212.00	$111.84
73610 X-ray of ankle, minimum of 3 views	13	13	$19.00	$9.11
77081 Dxa bone density measurement of forearm, finger, hand, or foot	13	13	$24.00	$10.08
73110 X-ray of wrist, minimum of 3 views	13	12	$149.00	$46.41
76706 Ultrasound scan of abdominal aorta	13	13	$60.00	$28.79
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$75.17	$35.06
73590 X-ray of lower leg, 2 views	12	11	$20.08	$8.36
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$444.00	$223.62
72128 CT scan of middle spine	11	11	$121.00	$49.32
72052 X-ray of upper spine, 6 or more views	11	11	$273.00	$71.35
76536 Ultrasound of head and neck	11	11	$59.00	$29.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,464	60	$2.75	$0.11
77067 Screening mammography	945	945	$538.00	$155.72
77063 Screening digital tomography of both breasts	909	909	$64.96	$60.91
71045 X-ray of chest, 1 view	545	475	$19.04	$9.69
77080 Dxa bone density measurement of hip, pelvis, spine	432	432	$288.81	$44.52
76641 Complete ultrasound scan of 1 breast	297	217	$199.00	$121.14
70450 Ct scan head or brain without contrast	250	241	$89.64	$43.99
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	186	182	$65.00	$60.86
71046 X-ray of chest, 2 views	147	143	$137.00	$36.51
77065 Diagnostic mammography of 1 breast	122	117	$526.00	$149.69
77066 Diagnostic mammography of both breasts	106	106	$667.00	$191.69
71046 X-ray of chest, 2 views	97	96	$23.40	$11.55
74177 Ct scan of abdomen and pelvis with contrast	94	94	$254.54	$96.80
76770 Complete ultrasound scan behind abdominal cavity	83	82	$271.00	$126.66
74176 Ct scan of abdomen and pelvis without contrast	82	82	$240.59	$91.95
76642 Limited ultrasound scan of 1 breast	51	48	$199.00	$98.59
76536 Ultrasound of head and neck	51	50	$483.00	$132.18
73502 X-ray of hip, 2-3 views	48	44	$25.00	$11.97
76700 Ultrasound of abdomen	48	48	$286.00	$138.59
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	45	40	$46.00	$23.33
74018 X-ray of abdomen, 1 view	36	34	$113.00	$32.69
73564 X-ray of knee, 4 or more views	36	29	$171.00	$47.09
72125 Ct scan of upper spine without contrast	36	36	$121.00	$52.52
74018 X-ray of abdomen, 1 view	32	30	$19.00	$9.70
71250 Ct scan of chest without contrast	32	32	$121.00	$60.06
76981 Elastography ultrasound of organ tissue	32	32	$428.00	$122.85
76705 Limited ultrasound scan of abdomen	31	30	$62.00	$30.45
73030 X-ray of shoulder, minimum of 2 views	31	29	$19.00	$10.12
93880 Ultrasound of both sides of head and neck blood flow	29	29	$62.00	$41.79
73502 X-ray of hip, 2-3 views	28	28	$94.00	$51.42
73562 X-ray of knee, 3 views	28	23	$20.00	$10.11
76705 Limited ultrasound scan of abdomen	27	27	$223.00	$98.72
73030 X-ray of shoulder, minimum of 2 views	25	25	$125.00	$37.32
93880 Ultrasound of both sides of head and neck blood flow	24	24	$456.00	$222.15
76857 Limited ultrasound scan of pelvis	24	24	$202.00	$51.18
71275 Ct scan of blood vessels of chest with contrast	23	23	$199.00	$95.24
76770 Complete ultrasound scan behind abdominal cavity	23	23	$77.00	$38.63
73590 X-ray of lower leg, 2 views	23	19	$19.48	$8.56
76856 Complete ultrasound scan of pelvis	21	21	$255.00	$119.44
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$296.00	$139.64
70450 Ct scan head or brain without contrast	20	20	$482.00	$124.01
71260 Ct scan of chest with contrast	20	20	$129.00	$63.92
76706 Ultrasound scan of abdominal aorta	20	20	$214.00	$130.12
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$444.00	$209.64
73630 X-ray of foot, minimum of 3 views	19	17	$19.00	$8.89
73564 X-ray of knee, 4 or more views	19	18	$24.00	$12.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$71.00	$36.00
73562 X-ray of knee, 3 views	18	16	$149.00	$44.39
70551 Mri scan of brain without contrast	18	18	$156.00	$78.10
76830 Ultrasound pelvis through vagina	18	18	$509.00	$139.36
73110 X-ray of wrist, minimum of 3 views	18	16	$19.00	$9.32
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$32.00	$10.48
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	17	$1605.00	$691.95
71260 Ct scan of chest with contrast	17	17	$717.00	$183.13
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$1750.00	$416.41
72052 X-ray of upper spine, 6 or more views	15	15	$273.00	$67.41
72131 CT scan of lower spine	15	15	$125.00	$51.36
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	15	15	$70.00	$63.68
73630 X-ray of foot, minimum of 3 views	15	14	$129.00	$36.96
74177 Ct scan of abdomen and pelvis with contrast	14	14	$1376.00	$370.98
70553 Mri scan of brain before and after contrast	14	14	$247.00	$121.13
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$226.00	$54.75
70486 CT scan of face	13	12	$120.00	$44.67
74176 Ct scan of abdomen and pelvis without contrast	13	13	$860.00	$222.82
73610 X-ray of ankle, minimum of 3 views	12	12	$19.00	$9.31
72050 X-ray of upper spine, 4 or 5 views	12	12	$214.00	$57.19
72114 X-ray lower and sacral spine, minimum of 6 views	12	12	$139.00	$67.32
72170 X-ray of pelvis, 1-2 views	12	12	$19.00	$9.31
71250 Ct scan of chest without contrast	11	11	$612.00	$171.70
10005 Fine needle aspiration of first lesion using ultrasound guidance	11	11	$488.00	$142.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	543	480	$34.51	$11.13
71045 X-ray of chest, 1 view	417	370	$26.51	$9.38
77067 Screening mammography	393	393	$92.00	$38.54
70450 Ct scan head or brain without contrast	290	270	$166.41	$42.73
77067 Screening mammography	229	229	$538.00	$152.18
76377 3D radiographic procedure with computerized image postprocessing	180	172	$129.00	$40.48
74177 Ct scan of abdomen and pelvis with contrast	160	154	$308.00	$93.09
71250 Ct scan of chest without contrast	120	115	$176.89	$59.12
74176 Ct scan of abdomen and pelvis without contrast	91	88	$287.10	$89.39
77080 Dxa bone density measurement of hip, pelvis, spine	91	91	$287.35	$44.43
76641 Complete ultrasound scan of 1 breast	88	67	$199.00	$117.90
76536 Ultrasound of head and neck	82	82	$86.66	$28.74
71260 Ct scan of chest with contrast	79	75	$192.19	$62.08
72125 Ct scan of upper spine without contrast	74	72	$173.89	$54.17
77080 Dxa bone density measurement of hip, pelvis, spine	72	72	$48.96	$10.04
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	70	67	$90.91	$22.98
71046 X-ray of chest, 2 views	70	70	$93.29	$24.75
77063 Screening digital tomography of both breasts	70	70	$65.00	$59.73
73502 X-ray of hip, 2-3 views	65	64	$37.77	$11.41
71275 Ct scan of blood vessels of chest with contrast	62	60	$294.47	$92.59
93880 Ultrasound of both sides of head and neck blood flow	62	62	$98.26	$40.94
73564 X-ray of knee, 4 or more views	57	51	$39.51	$11.53
74018 X-ray of abdomen, 1 view	57	56	$26.95	$9.35
76700 Ultrasound of abdomen	56	56	$119.96	$41.12
76770 Complete ultrasound scan behind abdominal cavity	51	50	$109.04	$37.68
76642 Limited ultrasound scan of 1 breast	48	41	$90.00	$34.65
73030 X-ray of shoulder, minimum of 2 views	42	41	$31.74	$9.74
77065 Diagnostic mammography of 1 breast	38	38	$92.00	$41.36
70551 Mri scan of brain without contrast	38	38	$259.63	$75.88
73630 X-ray of foot, minimum of 3 views	38	35	$28.79	$8.62
76705 Limited ultrasound scan of abdomen	37	37	$90.11	$29.60
77065 Diagnostic mammography of 1 breast	36	35	$526.00	$142.37
72100 X-ray of lower and sacral spine, 2-3 views	32	32	$33.69	$11.50
76770 Complete ultrasound scan behind abdominal cavity	25	25	$271.00	$120.95
73110 X-ray of wrist, minimum of 3 views	24	23	$27.50	$9.03
77066 Diagnostic mammography of both breasts	24	24	$667.00	$188.99
76376 3d radiographic procedure	23	23	$28.00	$10.06
73610 X-ray of ankle, minimum of 3 views	23	22	$28.22	$9.04
72170 X-ray of pelvis, 1-2 views	22	21	$24.27	$9.03
73590 X-ray of lower leg, 2 views	20	18	$25.20	$8.30
70486 CT scan of face	18	18	$168.33	$43.35
71101 X-ray of ribs on side of body, minimum of 3 views	17	17	$39.18	$14.11
77066 Diagnostic mammography of both breasts	17	17	$97.00	$51.22
73140 X-ray of finger, minimum of 2 views	17	17	$20.59	$7.19
72192 Ct scan pelvis	17	17	$169.76	$55.84
76870 Ultrasound scan of scrotum	16	14	$103.00	$32.71
73080 X-ray of elbow, minimum of 3 views	16	15	$25.13	$9.03
76700 Ultrasound of abdomen	15	15	$286.00	$128.54
73130 X-ray of hand, minimum of 3 views	15	15	$25.53	$9.02
93880 Ultrasound of both sides of head and neck blood flow	15	15	$403.47	$199.82
G0297 Low dose ct scan (ldct) for lung cancer screening	15	15	$85.00	$52.44
73501 X-ray of hip with pelvis, 1 view	15	14	$31.27	$9.72
73564 X-ray of knee, 4 or more views	14	11	$152.43	$41.43
73030 X-ray of shoulder, minimum of 2 views	14	13	$98.71	$26.73
76856 Complete ultrasound scan of pelvis	14	14	$101.29	$35.15
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	14	14	$64.07	$25.20
76642 Limited ultrasound scan of 1 breast	13	13	$199.00	$96.75
74160 Ct scan of abdomen with contrast	12	12	$195.00	$65.14
76830 Ultrasound pelvis through vagina	12	12	$100.50	$35.53
74018 X-ray of abdomen, 1 view	12	12	$105.83	$29.64
73502 X-ray of hip, 2-3 views	11	11	$74.36	$34.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	852	852	$92.00	$38.08
71046 X-ray of chest, 2 views	686	614	$35.00	$11.02
71045 X-ray of chest, 1 view	552	437	$27.00	$9.21
70450 Ct scan head or brain without contrast	413	372	$178.00	$42.04
76377 3D radiographic procedure with computerized image postprocessing	328	299	$129.00	$40.21
74177 Ct scan of abdomen and pelvis with contrast	292	270	$308.00	$92.40
71250 Ct scan of chest without contrast	173	164	$178.00	$59.06
71260 Ct scan of chest with contrast	161	144	$195.00	$61.62
76536 Ultrasound of head and neck	129	125	$87.00	$28.39
71275 Ct scan of blood vessels of chest with contrast	126	119	$295.00	$91.55
72125 Ct scan of upper spine without contrast	112	110	$178.00	$53.67
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	111	103	$100.00	$22.57
74176 Ct scan of abdomen and pelvis without contrast	109	106	$294.00	$88.09
76642 Limited ultrasound scan of 1 breast	105	78	$90.00	$34.31
73502 X-ray of hip, 2-3 views	104	98	$40.00	$11.38
77080 Dxa bone density measurement of hip, pelvis, spine	92	92	$49.00	$10.27
76770 Complete ultrasound scan behind abdominal cavity	92	89	$113.00	$37.28
73564 X-ray of knee, 4 or more views	89	81	$41.00	$11.37
93880 Ultrasound of both sides of head and neck blood flow	79	79	$102.00	$40.47
74018 X-ray of abdomen, 1 view	79	77	$27.00	$9.23
76700 Ultrasound of abdomen	73	71	$122.00	$40.60
73030 X-ray of shoulder, minimum of 2 views	63	58	$33.00	$9.60
77065 Diagnostic mammography of 1 breast	54	51	$92.00	$40.94
72100 X-ray of lower and sacral spine, 2-3 views	53	53	$34.00	$11.38
73630 X-ray of foot, minimum of 3 views	52	49	$29.00	$8.53
76856 Complete ultrasound scan of pelvis	50	49	$106.00	$34.79
71046 X-ray of chest, 2 views	50	47	$35.00	$11.03
70551 Mri scan of brain without contrast	47	47	$268.00	$75.29
73610 X-ray of ankle, minimum of 3 views	45	43	$29.00	$8.58
76376 3d radiographic procedure	44	44	$28.00	$9.96
76705 Limited ultrasound scan of abdomen	43	42	$90.00	$29.59
76830 Ultrasound pelvis through vagina	42	41	$106.00	$35.24
77066 Diagnostic mammography of both breasts	40	40	$96.88	$50.70
70486 CT scan of face	36	36	$178.00	$42.61
73130 X-ray of hand, minimum of 3 views	34	31	$26.00	$8.90
73110 X-ray of wrist, minimum of 3 views	33	33	$28.00	$8.89
73120 X-ray of hand, 2 views	30	17	$25.00	$8.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	26	$116.00	$34.61
G0297 Low dose ct scan (ldct) for lung cancer screening	25	25	$85.00	$51.80
73140 X-ray of finger, minimum of 2 views	24	23	$21.00	$7.11
73590 X-ray of lower leg, 2 views	24	22	$25.00	$8.54
72170 X-ray of pelvis, 1-2 views	23	22	$25.00	$8.86
76775 Limited ultrasound scan behind abdominal cavity	22	22	$89.00	$29.02
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	22	22	$70.00	$24.80
73552 X-ray of thigh bone, minimum 2 views	21	20	$32.00	$9.58
74178 Ct scan of abdomen and pelvis before and after contrast	17	17	$341.00	$101.59
74160 Ct scan of abdomen with contrast	17	16	$195.00	$61.45
73060 X-ray of upper arm, minimum of 2 views	17	17	$26.00	$8.56
73501 X-ray of hip with pelvis, 1 view	17	17	$32.00	$9.56
93926 Ultrasound of one leg arteries or artery grafts	16	16	$70.00	$24.56
72192 Ct scan pelvis	15	15	$178.00	$54.81
76870 Ultrasound scan of scrotum	15	14	$103.00	$32.39
71101 X-ray of ribs on side of body, minimum of 3 views	15	15	$42.00	$13.79
72131 CT scan of lower spine	14	14	$178.00	$47.35
70498 Ct scan of blood vessels of neck with contrast	14	14	$271.00	$85.79
73090 X-ray of forearm, 2 views	13	13	$24.00	$8.53
73080 X-ray of elbow, minimum of 3 views	12	12	$26.00	$8.88
74021 X-ray of abdomen, minimum of 3 views	12	12	$55.00	$13.87
93925 Ultrasound of leg arteries or artery grafts	12	12	$105.00	$40.25
71100 X-ray of ribs of one side of body, 2 views	11	11	$35.00	$11.37
73030 X-ray of shoulder, minimum of 2 views	11	11	$33.00	$9.63
70553 Mri scan of brain before and after contrast	11	11	$358.00	$115.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71020 X-ray of chest, 2 views, front and side	654	561	$35.00	$10.97
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	499	499	$84.51	$36.89
71010 X-ray of chest, 1 view, front	475	363	$27.00	$9.21
70450 Ct scan head or brain without contrast	392	350	$178.00	$42.50
74177 Ct scan of abdomen and pelvis with contrast	266	243	$308.00	$92.08
76377 3D radiographic procedure with computerized image postprocessing	262	244	$129.00	$40.35
71250 Ct scan of chest without contrast	186	173	$178.00	$51.42
71260 Ct scan of chest with contrast	144	127	$195.00	$61.68
76536 Ultrasound of head and neck	137	133	$87.00	$28.42
71275 Ct scan of blood vessels of chest with contrast	136	130	$295.00	$91.81
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	129	122	$100.00	$22.32
74176 Ct scan of abdomen and pelvis without contrast	122	111	$294.00	$88.35
77080 Dxa bone density measurement of hip, pelvis, spine	107	107	$49.00	$10.23
72125 Ct scan of upper spine without contrast	97	94	$178.00	$54.04
76770 Complete ultrasound scan behind abdominal cavity	90	87	$113.00	$37.10
76700 Ultrasound of abdomen	89	89	$122.00	$40.42
76642 Limited ultrasound scan of 1 breast	81	63	$90.00	$34.19
73502 X-ray of hip, 2-3 views	79	70	$40.00	$11.36
74000 X-ray of abdomen, single view	74	70	$27.00	$9.23
93880 Ultrasound of both sides of head and neck blood flow	74	73	$102.00	$40.32
73564 X-ray of knee, 4 or more views	69	62	$41.00	$11.37
73030 X-ray of shoulder, minimum of 2 views	53	49	$33.00	$9.60
72100 X-ray of lower and sacral spine, 2-3 views	52	51	$34.00	$11.35
76376 3d radiographic procedure	45	45	$28.00	$9.95
73610 X-ray of ankle, minimum of 3 views	43	39	$29.00	$8.88
76705 Limited ultrasound scan of abdomen	41	41	$90.00	$29.04
73630 X-ray of foot, minimum of 3 views	41	38	$29.00	$8.51
70551 Mri scan of brain without contrast	38	37	$268.00	$74.82
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	37	36	$84.65	$39.07
73120 X-ray of hand, 2 views	30	16	$25.00	$8.54
76856 Complete ultrasound scan of pelvis	28	28	$106.00	$34.94
73590 X-ray of lower leg, 2 views	26	25	$25.00	$8.50
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	26	26	$86.54	$48.68
72170 X-ray of pelvis, 1-2 views	25	25	$25.00	$8.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	25	24	$116.00	$35.05
73552 X-ray of thigh bone, minimum 2 views	24	20	$32.00	$9.60
76775 Limited ultrasound scan behind abdominal cavity	24	24	$89.00	$29.00
76870 Ultrasound scan of scrotum	24	24	$103.00	$32.48
70486 CT scan of face	21	21	$178.00	$42.73
70491 CT scan of neck with contrast	20	20	$207.00	$69.91
76830 Ultrasound pelvis through vagina	20	20	$106.00	$34.96
73110 X-ray of wrist, minimum of 3 views	19	18	$28.00	$8.87
73501 X-ray of hip with pelvis, 1 view	19	18	$32.00	$9.57
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$341.00	$97.24
72192 Ct scan pelvis	18	18	$178.00	$55.29
71101 X-ray of ribs on side of body, minimum of 3 views	17	17	$42.00	$13.79
73140 X-ray of finger, minimum of 2 views	16	15	$21.00	$7.09
73130 X-ray of hand, minimum of 3 views	16	16	$26.00	$8.91
72131 CT scan of lower spine	16	16	$178.00	$48.08
73660 X-ray of toes, minimum of 2 views	15	14	$21.00	$6.72
74160 Ct scan of abdomen with contrast	14	13	$195.00	$64.59
93925 Ultrasound of leg arteries or artery grafts	14	14	$105.00	$39.76
73080 X-ray of elbow, minimum of 3 views	13	13	$26.00	$8.89
72040 X-ray of upper spine, 2-3 views	13	13	$34.00	$11.37
70498 Ct scan of blood vessels of neck with contrast	13	13	$271.00	$86.36
93926 Ultrasound of one leg arteries or artery grafts	12	12	$70.00	$24.43
70553 Mri scan of brain before and after contrast	12	12	$358.00	$116.05
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$48.00	$16.02
78306 Nuclear medicine study of bone and/or joint whole body	12	11	$136.00	$42.58
71100 X-ray of ribs of one side of body, 2 views	12	11	$35.00	$11.31
73060 X-ray of upper arm, minimum of 2 views	11	11	$26.00	$8.52

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License HI MD20349

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 ME78473

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 VT FF0532689

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

Hospital & Practice Group Affiliations

Doctor of Medicine (M.D.)

Dr. Manfred Tejerina , DO

Radiology - Diagnostic Radiology

NPI 1134489438

Doctor of Osteopathic Medicine (D.O.)

Dr. Douglas Sides , MD

Radiology - Diagnostic Radiology

NPI 1144228255

Doctor of Medicine (M.D.)

Dr. Jason Cheng , MD

Radiology - Diagnostic Radiology

NPI 1205093200

Doctor of Medicine (M.D.)

Dr. Jason Murphree , MD

Radiology - Diagnostic Radiology

NPI 1215192588

Doctor of Medicine (M.D.)

Dr. Matthew Wetzel , MD

Radiology - Diagnostic Radiology

NPI 1245496900

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location October 18, 2019

Registered at 688 KINOOLE ST STE 103, HILO, HI 967203868 (Tel: 8089698010)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2019

Radiology (License #ME78473 in FL)

✅

NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2017

Registered at 100 HOSPITAL DR, BENNINGTON, VT 052015004 (Tel: 8024475112)

📍

Updated Business Mailing Address December 22, 2017

Registered at 100 HOSPITAL DR, BENNINGTON, VT 052015004

👤

Provider Name / Credentials Updated December 22, 2017

Recorded as JOHN WADE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Radiology (License #FF0532689 in VT)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 3680 BROADWAY, FORT MYERS, FL 339018005 (Tel: 2399362316)

📍

Updated Business Mailing Address July 09, 2007

Registered at 3660 BROADWAY, FORT MYERS, FL 339018005 (Tel: 2399362316)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN WADE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Radiology (License #ME78473 in FL)

🟢

Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326087487

Entity Type:

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

Enumeration Date: June 05, 2006

Last Update: October 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Hospital Dr

Bennington, VT 052015004

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

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