GREG EVAN RAECKER DO NPI 1225076029

NPI Information

  • NPI: 1225076029
  • Provider Name: GREG EVAN RAECKER, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1731 W RIDGEWAY AVE
    STE 101
    WATERLOO, IA
    ZIP 50701
  • Phone: (319) 833-6001

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NPI Details

Greg Evan Raecker, DO is a diagnostic radiology radiology in Waterloo, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Greg Evan Raecker, DO NPI is 1225076029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1731 W RIDGEWAY AVE
STE 101
WATERLOO, IA
ZIP 50701-591
Phone: (319) 833-6001
Fax: (319) 833-6003

The NPI 1225076029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 9/7/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology02087IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
142141730793OTHERIOWAJOHN DEERE HLTH INS PLAN
256258OTHERIOWAWELLMARK INS PLAN
3A03915MEDICARE UPIN
456258MEDICARE ID-TYPE UNSPECIFIEDIOWA
55030635MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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