Stephen John Buetow, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Ft Gordon, GA
NPI 1386614717 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386614717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 052151 (GA)
- Practice address
- Ddeamc, Department of Radiology
300 Hospital Rd.
Ft Gordon, GA 30905 - Phone
- (706) 787-2175
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Georgetown University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Radiologists Inc PS
Mt Baker Imaging LLC
Peacehealth
Practice addresses (Care Compare)
1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2017
2061 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 733-0430
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 733-0430
2930 Squalicum Pkwy
Bellingham, WA 98225-1854
Phone (360) 733-0430
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (360) 733-0430
4029 Northwest Ave
Suite 101
Bellingham, WA 98226-9078
Phone (360) 733-0430
4029 Northwest Ave
Suite 301
Bellingham, WA 98226-9077
Phone (360) 733-0430
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
- Peacehealth Peace Island Medical Center
- Peacehealth United General Medical Center
- Peacehealth Ketchikan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 85.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 62 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 10
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070522000695 | WA | Practitioner - Diagnostic Radiology | 1658377197 | Reassigns benefits to 2 organizations |
| I20110802000207 | AK | Practitioner - Diagnostic Radiology | 1658377197 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052151 | GA | MD | Diagnostic Radiology Physician |
| D55545 | MD | MD | Diagnostic Radiology Physician |
| 23501 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare Services Inc | Current |
Accepting new patients | |
| Mt Baker Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Peacehealth | Diagnostic Radiology | Current |
Accepting new patients |
| Northwest Radiologists Inc PS | Diagnostic Radiology | Current |
Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
4029 Northwest Ave
Ste 201
Bellingham, WA 98226
2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890
4029 Northwest Ave
Ste 101
Bellingham, WA 98226
Phone (360) 752-0518
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 052151 | GA | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 23501 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | D55545 | MD |
Addresses
Primary practice location
Ddeamc, Department of Radiology
300 Hospital Rd.
Ft Gordon, GA 30905
Mailing address
4560 Juniper PL
Evans, GA 30809-4538
Phone (706) 651-1472
Other providers in Ft Gordon, GA
- Tao Brown
- Aiden Brummett
- Gary Brunson
- Lucas Allen Bryant
- Whitney Bryson
- Tena Marie Buffington
- Jason Scott Bullock
- Timothy Scott Burch
- Gloria T Byrd
- Eric Christopher Byron
All providers in Ft Gordon, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.