DR. JED RUSSELL PETERSON M.D. NPI 1164634770

NPI Details

DR. Jed Russell Peterson, M.D. is a vascular and interventional radiology radiology in Portland, OR with 19 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Jed Russell Peterson, M.D. NPI is 1164634770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2006

The provider's business location address is:

10123 SE MARKET ST
DEPARTMENT OF RADIOLOGY
PORTLAND, OR
ZIP 97216-532
Phone: (503) 251-6137
Fax: (503) 261-6058

The NPI 1164634770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• X-ray of chest, 1 view (HCPCS:71045)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• X-ray of spine, 1 view (HCPCS:72020)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of knee, 3 views (HCPCS:73562)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Review by radiologist of ct guidance for needle placement (HCPCS:77012)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Ct scan head or brain without contrast (HCPCS:70450)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/4/2007 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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