NPIMap

Individual provider Active NPI

Christopher W Degn, MD

  • Diagnostic Radiology Physician
  • Fallon, NV
National Provider Identifier
1669455028
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11820 Issued in NV
Practice address
801 E Williams Ave
Fallon, NV 89406-3052
Phone
(775) 423-3151
Fax
(775) 428-2914
NPI assigned
Nov 21, 2005
Last updated
Jun 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 043127 CT
Diagnostic Radiology Physician 2085R0202X 11820 NV Primary

Addresses

Primary practice location

801 E Williams Ave
Fallon, NV 89406-3052

Mailing address

PO Box 32364
Knoxville, TN 37930-2364
Phone (800) 343-2599

Other identifiers 3

IdentifierTypeStateIssuer
CC4755OtherNVBCBSNV
100509685MedicaidNV
P00337401OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170420000003 PA Practitioner - Diagnostic Radiology 0244269827
I20190917002086 SC Practitioner - Diagnostic Radiology 0244269827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1037 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 286-1214

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043127CTMDDiagnostic Radiology Physician
11820NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Reno Radiological Associates, Chartered Diagnostic Radiology Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1037 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Organizations & group practices 5

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1669455028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32364",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302364",
            "telephone_number": "800-343-2599",
            "fax_number": "865-531-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-423-3151",
            "fax_number": "775-428-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGN",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "043127",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "11820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNV",
            "identifier": "CC4755",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509685",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00337401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.