DR. MATTHEW SCOTT LIDSTROM M.D. NPI 1447512348

NPI Details

DR. Matthew Scott Lidstrom, M.D. is a diagnostic radiology radiology in Coeur D Alene, ID with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Matthew Scott Lidstrom, M.D. NPI is 1447512348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

700 W IRONWOOD DR STE 175
COEUR D ALENE, ID
ZIP 83814-401
Phone: (208) 625-6300
Fax: (208) 625-6920

The NPI 1447512348 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.

• Screening 3d breast mammography (HCPCS:77063)
• Screening mammography (HCPCS:77067)
• Ct scan head or brain without contrast (HCPCS:70450)
• X-ray of chest, 1 view (HCPCS:71045)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• X-ray of chest, 2 views (HCPCS:71046)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of chest without contrast (HCPCS:71250)
• Mri scan of brain without contrast (HCPCS:70551)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Ct scan of chest with contrast (HCPCS:71260)
• Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of chest, 2 views (HCPCS:71046)
• X-ray of middle spine, 3 views (HCPCS:72072)
• Mri scan of pelvis before and after contrast (HCPCS:72197)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Ct scan of lower spine without contrast (HCPCS:72131)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• Ct scan of face without contrast (HCPCS:70486)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
• Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
• Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)

The enumeration date for this NPI number is 6/15/2012 and was last updated on 4/23/2024.

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: