William Russell Bacon, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME151240 Issued in FL

Practice address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Phone

(952) 595-1301

Fax

(612) 294-4903

NPI assigned

Feb 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, KY, FL, SC, TX5 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

Specialty

Diagnostic Radiology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
• Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

Merit-based Incentive Payment System (MIPS)

Final score

84.08 of 100Reported as group

Quality

81.28

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

91.68

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 60)

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org

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.

• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  FL, KY

  Medicare reassignment Care Compare group NPD
• Lebanon Pet Scan Center, LLC

  • Diagnostic Radiology Physician
  • Lebanon, TN
  • NPI 1114551132
  Medicare reassignment NPD
• Murfreesboro Radiology & Nuclear Medicine Consultants PLLC

  • Diagnostic Radiology Physician
  • Murfreesboro, TN
  • NPI 1316043524

  FL

  Medicare reassignment NPD
• Radiology Associates of South Florida LLC

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1699759183

  FL

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Specialists in Medical Imaging, SC

  • Diagnostic Radiology Physician
  • Olympia Fields, IL
  • NPI 1841687951

  FL

  Medicare reassignment NPD
• Adi Radiology PC

  • Diagnostic Radiology Physician
  • Franklin, TN
  • NPI 1083266761

  FL

  Medicare reassignment
• Clarksville Imaging Center LLC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1043285539

  FL

  Medicare reassignment
• Middle Tennessee Imaging LLC

  • Diagnostic Radiology Physician
  • Dickson, TN
  • NPI 1770667289

  FL

  Medicare reassignment
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  NPD
• Self Regional Healthcare Partners

  • Critical Access Hospital
  • Edgefield, SC
  • NPI 1922582105

  Diagnostic Radiology

  NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD

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

• Central Tennessee Hospital Corporation

  • General Acute Care Hospital
  • Dickson, TN
  • NPI 1871530832
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Hendersonville Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1609014489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "47338",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME151240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmaculate Bih Awasom
• Marc T. Awobuluyi, M.D.
• Ruweyda Aydarus
• Rachel Ann Baber, OTR/L
• Daniel L Bachicha, PH.D.
• Queety Badio
• Bhar Bagutti, LADC
• Kayla Bailey
• Amanda Baillargeon, M.D.
• Katherine Baillon, DO, MPH

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.