DR. WAYNE MARCUS MORTENSEN M.D. NPI 1780878314

NPI Information

  • NPI: 1780878314
  • Provider Name: DR. WAYNE MARCUS MORTENSEN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 190 E BANNOCK ST
    BOISE, ID
    ZIP 83712
  • Phone: (208) 381-2094

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NPI Details

DR. Wayne Marcus Mortensen, M.D. is a diagnostic radiology radiology in Boise, ID with 19 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.

  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • 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)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • X-ray of joints, multiple (HCPCS:77077)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray for bone length assessment (HCPCS:77073)
  • X-ray of joint between lower spine and hip bone, 3 or more views (HCPCS:72202)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Mri scan of leg without contrast (HCPCS:73718)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of collar bone (HCPCS:73000)
  • Mri scan of arm joint with contrast (HCPCS:73222)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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