Roderick Jack Willmore, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M13586 Issued in ID

Practice address

3100 Channing Way
Idaho Falls, ID 83404-7533

Phone

(208) 529-6111

NPI assigned

Jul 12, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT, WY, MT, ID4 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 4

Specialty

Diagnostic Radiology

Education

Virginia Commonwealth University, School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teton Radiology CaldwellGroup PAC ID 2365892742, 16 clinicians

Teton Radiology Diagnostic a Series of Teton Group EnterpriseGroup PAC ID 1254436959, 43 clinicians

Cache Valley VeinGroup PAC ID 5294069563, 36 clinicians

Teton Radiology Madison LLCGroup PAC ID 6901958024, 40 clinicians

Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, shared by 3 NPIs, 38 clinicians

Medical Imaging Associates of Idaho Falls IncGroup PAC ID 7618876590, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008
• Steele Memorial Medical Center Hospital, Salmon, ID, CCN 131305
• Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 48)

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

• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  MT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Caldwell

  • Diagnostic Radiology Physician
  • Caldwell, ID
  • NPI 1336920420

  MT, UT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Diagnostic a Series of Teton Group Enterprise

  • Body Imaging Physician
  • Idaho Falls, ID
  • NPI 1013085604

  Diagnostic Radiology, MT, UT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Madison LLC

  • Body Imaging Physician
  • Rexburg, ID
  • NPI 1407081060

  MT, UT, WY

  Medicare reassignment Care Compare group NPD
• Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
  • NPI 1831662311

  ID, MT, WY

  Medicare reassignment Care Compare group
• Teton Vascular Institute of Pocatello a Series of Teton Group

  • Vascular & Interventional Radiology Physician
  • Pocatello, ID
  • NPI 1508224379

  MT, UT, WY

  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341
  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757
  Medicare reassignment NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• Elevation Medical Imaging Evanston

  • Radiology Clinic/Center
  • Evanston, WY
  • NPI 1184242521
  NPD
• Memorial Hospital of Carbon County

  • Home Health Agency
  • Rawlins, WY
  • NPI 1295896496
  NPD
• Memorial Hospital of Carbon County

  • General Acute Care Hospital
  • Rawlins, WY
  • NPI 1417031311
  NPD

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

• BMH Inc

  • Critical Access Hospital
  • Blackfoot, ID
  • NPI 1982805271
  Care Compare affiliation
• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• Steele Memorial Medical Center

  • Critical Access Hospital
  • Salmon, ID
  • NPI 1851403265
  Care Compare affiliation
• Riverton Memorial Hospital LLC

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1346538253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 E SUNNYSIDE RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047598",
            "telephone_number": "208-542-5000",
            "fax_number": "208-542-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-529-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMORE",
        "first_name": "RODERICK",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M13586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346538253",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd A Williams, M.D.
• Troy D Williams, PT
• Willard Taylor Williams
• Katelyn Rose Willis
• Robert Willis, PA-C
• Willow Creek Dental
• Willow Creek Dental PC
• Willow Sage Services LLC
• Bridgette Wilson, PHARMD
• David Earl Wilson, D.D.S

• Diagnostic Radiology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.