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DR. MARK W PETERSON M.D. NPI 1356312524


NPI Information

NPI: 1356312524
Provider Name: DR. MARK W PETERSON, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
415 6TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 799-5335
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DR. Mark W Peterson, M.D. is a diagnostic radiology radiology in Lewiston, ID with 41 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mark W Peterson, M.D. NPI is 1356312524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1983

The provider's business location address is:

415 6TH ST
LEWISTON, ID
ZIP 83501-431
Phone: (208) 799-5335

The NPI 1356312524 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, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of abdomen, single view (HCPCS:74000)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • X-ray of knee, 4 or more views (HCPCS:73564)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyM5240IDAHOYes
22085R0204XRadiologyVascular & Interventional RadiologyM5240IDAHOX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11123012MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2E08576MEDICARE UPINIDAHO
3000010005909OTHERIDAHOREGENCE BS OF IDAHO
4P00165374OTHERRAILROAD MEDICARE
50192980OTHERWASHINGTONLABOR & INDUSTRIES
671498OTHERIDAHOBLUE CROSS OF IDAHO
78156473MEDICAIDWASHINGTON

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.