WILLIAM RUSSELL BACON MD
NPI 1609014489
Radiology - Diagnostic Radiology in Eden Prairie, MN

Active since February 02, 2009PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1301(612) 294-4903 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2022, Mar 8, 2021, Mar 3, 2021 and 1 more (4 updates tracked since 2018).

About William Russell Bacon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM RUSSELL BACON MD (NPI 1609014489) is an individual diagnostic radiology provider in Eden Prairie, Minnesota, licensed in Florida (ME151240) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609014489
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWILLIAM RUSSELL BACONCredential: MD
Location Address11995 SINGLETREE LN STE 500Eden Prairie, MN 55344-5349
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 2, 2009
Last NPPES UpdateAugust 1, 20224 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1609014489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME151240✔ Licensed in TN · 47338
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11995 SINGLETREE LN STE 500, Eden Prairie, MN 55344

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Russell Bacon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294905386
PECOS Enrollment IDI20211221000479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show William Bacon reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
20201 CRAWFORD AVE
Olympia Fields, IL 60461
  • Reassigned Medicare billing, Florida enrollment
  • 56 clinicians in this Medicare group
Diagnostic Radiology
2320 WILMA RUDOLPH BLVD
Clarksville, TN 37040
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
812 N CHARLOTTE ST
Dickson, TN 37055
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Florida and Kentucky enrollments
  • 89 clinicians in this Medicare group
Diagnostic Radiology
103 PHYSICIANS WAY STE 100
Lebanon, TN 37090
  • Reassigned Medicare billing, Tennessee enrollment
  • 35 clinicians in this Medicare group
Diagnostic Radiology
4321 CAROTHERS PKWY
Franklin, TN 37067
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
Diagnostic Radiology
1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
Diagnostic Radiology
920 JUDSON RD
Longview, TX 75601
  • Reassigned Medicare billing, Florida enrollment
  • 200 clinicians in this Medicare group
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
235 services218 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
186 services183 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
125 services121 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
89 services88 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
80 services78 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
71 services69 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Neuroimaging)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344
Radiology (Diagnostic Radiology)
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Bacon's NPI number?

The NPI number for William Bacon is 1609014489. It was assigned to this individual provider in the NPPES registry on February 2, 2009.

Where is William Bacon located?

William Bacon practices at 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344. The listed phone number is (952) 595-1301.

What is William Bacon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is William Bacon enrolled in Medicare?

Yes. William Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for William Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Bacon reassigns Medicare benefits to 9 organizations: Specialists In Medical Imaging Sc (Olympia Fields, IL), Clarksville Imaging Center LLC (Clarksville, TN), Middle Tennessee Imaging LLC (Dickson, TN), Radiology Alliance PC (Nashville, TN), Lebanon Pet Scan Center, LLC (Lebanon, TN) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Bacon accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list William Bacon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Bacon affiliated with any hospitals?

According to CMS data, William Bacon is affiliated with Tristar Skyline Medical Center, Tristar Horizon Medical Center, Tristar Summit Medical Center, Tristar Centennial Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for William Bacon was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.