Jason Thomas Anderson, MD
Individual provider Active NPI Diagnostic Radiology Physician · Bozeman, MT
NPI 1508201773 · NPPES record last updated Oct 8, 2020
Key facts
- NPI
- 1508201773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MED-PHYS-LIC-76665 (MT)
- Practice address
- 1648 Ellis St Ste 201
Bozeman, MT 59715-8811 - Phone
- (406) 587-8631
- Fax
- (406) 587-1343
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Nevada School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Intercity Imaging LLC
Intercity Radiology PC
Practice addresses (Care Compare)
905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5200
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 587-8631
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Barrett Hospital & Healthcare
- Madison Valley Medical Center
- Bozeman Health Big Sky Medical Center
- Billings Clinic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.66 of 100
- Quality
- 87.31
- Improvement activities
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.42 of 100
- Quality
- 94.62
- Improvement activities
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20190617003313 | MT | Practitioner - Diagnostic Radiology | 2668737826 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Intercity Imaging LLC | Current |
Accepting new patients |
Locations
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
1283 N 14th Ave
Ste 202
Bozeman, MT 59715
905 Highland Blvd
Ste 4100
Bozeman, MT 59715
Phone (406) 556-5200
1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | MED-PHYS-LIC-76665 | MT | Yes |
Addresses
Primary practice location
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Mailing address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone (406) 587-8631
Other providers in Bozeman, MT
- Andrea Esther Anderson
- Candace J Anderson
- Hannah Marie Anderson
- Holly Lynn Anderson
- Ian Anderson
- Jenenne Howell Anderson
- Jessica Lynn Anderson
- John Anderson
- Justin Lee Anderson
- Kasey Anderson
All providers in Bozeman, MT · Diagnostic Radiology Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2020. 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.