JASON R PERICAK MD NPI 1689823411

NPI Information

  • NPI: 1689823411
  • Provider Name: JASON R PERICAK, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 N MAPLEMERE RD STE 120
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 836-4646

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NPI Details

Jason R Pericak, MD is a diagnostic radiology radiology in Williamsville, NY with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jason R Pericak, MD NPI is 1689823411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

111 N MAPLEMERE RD STE 120
WILLIAMSVILLE, NY
ZIP 14221-178
Phone: (716) 836-4646
Fax: (716) 836-4696

The NPI 1689823411 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of both breasts (HCPCS:77049)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ultrasound scan of chest (HCPCS:76604)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Mri scan of brain without contrast (HCPCS:70551)

The enumeration date for this NPI number is 9/17/2008 and was last updated on 8/21/2023.

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 Radiology256124NEW YORKYes

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
103193533MEDICAIDNEW YORK

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: 3/30/2025

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