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DR. WAYNE MARCUS MORTENSEN M.D. NPI 1780878314


NPI Information

NPI: 1780878314
Provider Name: DR. WAYNE MARCUS MORTENSEN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2094
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DR. Wayne Marcus Mortensen, M.D. is a diagnostic radiology radiology in Boise, ID with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Wayne Marcus Mortensen, M.D. NPI is 1780878314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2094
Fax: (208) 381-1791

The NPI 1780878314 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.

  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis (HCPCS:74176)

The enumeration date for this NPI number is 8/27/2007 and was last updated on 1/10/2018.


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 RadiologyM12065IDAHOYes
2390200000XStudent in an Organized Health Care Education/Training Program7152301-8905UTAHNo
3390200000XStudent in an Organized Health Care Education/Training Program7152301-1205UTAHNo
4390200000XStudent in an Organized Health Care Education/Training Program0116019824VIRGINIANo

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: 4/28/2024

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.