Individual provider Active NPI

Nicholas S Pierson, MD

  • Diagnostic Radiology Physician
  • Pocatello, ID
National Provider Identifier
1336309756
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-12821 Issued in ID
Practice address
777 Hospital Way
Pocatello, ID 83201-5175
Phone
(208) 239-1000
NPI assigned
Jun 10, 2008
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-12821 ID Primary

Addresses

Primary practice location

777 Hospital Way
Pocatello, ID 83201-5175

Mailing address

2265 East Sunnyside Road
Idaho Falls, ID 83404-7598
Phone (208) 542-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address npierson37337@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, MT, WY, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140630002193 UT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173755824 Reassigns benefits to 6 organizations
I20150720001925 ID Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173755824 Reassigns benefits to 7 organizations
I20150724011501 MT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173755824 Reassigns benefits to 6 organizations
I20150724011601 WY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3173755824 Reassigns benefits to 8 organizations
I20241014004419 WA Practitioner - Diagnostic Radiology 3173755824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Pennsylvania State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Radiology CaldwellGroup PAC ID 2365892742, 16 clinicians
Cache Valley VeinGroup PAC ID 5294069563, 36 clinicians
Teton Radiology Madison LLCGroup PAC ID 6901958024, 40 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, shared by 7 NPIs, 1,758 clinicians
Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, shared by 3 NPIs, 38 clinicians

Practice addresses (Care Compare)

110 Hospital LN
Afton, WY 83110-9409
Phone (208) 454-0742

1100 Hollenbeck LN
Deer Lodge, MT 59722-2317
Phone (208) 522-3017

1320 Bishop Randall Dr
Lander, WY 82520-3939
Phone (208) 522-3017

165 N University Ave
Farmington, UT 84025-2990
Phone (801) 581-6709

1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 581-2121

2001 S Woodruff Ave
Idaho Falls, ID 83404-6371
Phone (435) 753-2842

2001 S Woodruff Ave
Suite 17
Idaho Falls, ID 83404-6372
Phone (208) 524-7237

2221 Elm St
Rawlins, WY 82301-5108
Phone (307) 324-2221

300 3Rd St
Rawlins, WY 82301-5612
Phone (307) 324-8494

310 N Sansome St
Philipsburg, MT 59858-7554
Phone (208) 715-5220

3605 Ridgewood Rd
Pocatello, ID 83201-7704
Phone (801) 587-7109

425 E 4TH
Rexburg, ID 83440-5390
Phone (208) 356-4888

4519 Enterprise Way
Caldwell, ID 83605-8055
Phone (208) 454-0742

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

565 W 465
Suite 130
Providence, UT 84332-4802
Phone (435) 753-2842

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 715-5220

901 Adams St
Afton, WY 83110-9621
Phone (208) 715-5220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
78.36 of 100Reported as group
Quality
74.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
69.87
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
86.33
Improvement activities
40
Cost
88.62

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12821IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Teton Radiology Diagnostic a Series of Teton Group Enterprise Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Dec 6, 2022 Accepting new patients
Elevation Medical Imaging Evanston CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 17, 2020 Accepting new patients
Teton Radiology Caldwell Diagnostic Radiology CurrentSince Nov 12, 2023 Accepting new patients
State of Montana CurrentSince Nov 12, 2019 Accepting new patients
Multicare Health System Family Medicine CurrentSince Sep 4, 2024 Accepting new patients
Multicare Health System CurrentSince Sep 4, 2024 Accepting new patients
Teton Radiology Madison LLC CurrentSince Jul 1, 2015 Accepting new patients
Multicare Health System Current Accepting new patients
Teton Vascular Institute of Pocatello a Series of Teton Group CurrentSince Sep 16, 2023 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Oct 17, 2020 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Medical Imaging Assoc of Idaho Falls, PA PastSince Jun 26, 2022 Accepting new patients

Locations (25 of 50)

510 Roosevelt St
American Fls, ID 83211
Phone (208) 226-2327

1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

1441 Parkway Dr
Rm T9
Blackfoot, ID 83221
Phone (208) 785-2600

350 N Meridian St
Blackfoot, ID 83221
Phone (208) 782-0300

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

4519 Enterprise Way
Caldwell, ID 83605
Phone (208) 454-4960

1957 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-1100

2001 S Woodruff Ave
Idaho Falls, ID 83404
Phone (208) 523-2060

2001 S Woodruff Ave
Ste 17
Idaho Falls, ID 83404
Phone (208) 524-7237

2235 E 25th St
Idaho Falls, ID 83404
Phone (208) 243-9152

2265 E Sunnyside Rd
Idaho Falls, ID 83404

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

1151 Hospital Way
Pocatello, ID 83201
Phone (208) 233-3353

1151 Hospital Way
Bldg B
Pocatello, ID 83201
Phone (208) 233-1187

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

444 Hospital Way
Bldg 100
Pocatello, ID 83201
Phone (208) 238-3593

444 Hospital Way
Ste 111
Pocatello, ID 83201

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1336309756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 EAST SUNNYSIDE ROAD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047598",
            "telephone_number": "208-542-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015175",
            "telephone_number": "208-239-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npierson37337@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.