PETER L VANCE MD NPI 1619056199

NPI Information

  • NPI: 1619056199
  • Provider Name: PETER L VANCE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3100 CHANNING WAY
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 529-6111

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NPI Details

Peter L Vance, MD is a diagnostic radiology radiology in Idaho Falls, ID with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Peter L Vance, MD NPI is 1619056199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 529-6111

The NPI 1619056199 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)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Mri scan of arm joint with contrast (HCPCS:73222)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan of heart with evaluation of blood vessel calcium (HCPCS:75571)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of leg joint before and after contrast (HCPCS:73723)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of ankle, 2 views (HCPCS:73600)

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/20/2016.

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 RadiologyM8158IDAHOYes

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
1806336100MEDICAIDIDAHO
2H49708MEDICARE UPIN
3300131798OTHERRAILROAD MEDICARE
41104684MEDICARE PINIDAHO

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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