MARK IDSTROM MD
NPI 1639264443
Radiology - Diagnostic Radiology in Shawnee Mission, KS

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9100 W 74TH ST, SHAWNEE MISSION, KS 66204(913) 676-2310 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Idstrom Md NPPES

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

MARK IDSTROM MD (NPI 1639264443) is an individual diagnostic radiology provider in Shawnee Mission, Kansas, licensed in Missouri (R2J97) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of University Of Minnesota Medical School (1975).

NPPES Registry Identity

NPI1639264443
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK IDSTROMCredential: MD
Location Address9100 W 74TH STShawnee Mission, KS 66204-4004
Mailing Address9212 Nieman RdOverland Park, KS 66214-1868 · (913) 599-6777 · Fax (913) 599-3955
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1975
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639264443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · R2J97
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9100 W 74TH ST, Shawnee Mission, KS 66204

Other Identifiers 5

Medicare ID-Type UnspecifiedJ040304C
Medicare ID-Type UnspecifiedJ010304
Medicare ID-Type UnspecifiedJ040304B
Other15144081Bcbs
Medicare UPINC95073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark Idstrom 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 ID8224013016
PECOS Enrollment IDI20040624000406
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.

Areas of Expertise CMS Part B claims 14

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.
314 services203 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
130 services123 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
106 services103 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
50 services50 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.
31 services31 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66204 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Specialist
9100 W 74TH ST
OVERLAND PARK, KS 66204
Dietitian, Registered
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Nurse Practitioner (Family)
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Behavior Analyst
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Anesthesiology
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Registered Nurse
9100 W 74TH ST
MERRIAM, KS 66204
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204

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 Mark Idstrom's NPI number?

The NPI number for Mark Idstrom is 1639264443. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mark Idstrom located?

Mark Idstrom practices at 9100 W 74th St, Shawnee Mission, KS 66204. The listed phone number is (913) 676-2310.

What is Mark Idstrom's specialty?

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

Is Mark Idstrom enrolled in Medicare?

Yes. Mark Idstrom 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.

Is Mark Idstrom affiliated with any hospitals?

According to CMS data, Mark Idstrom is affiliated with Boone Hospital Center and University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Mark Idstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.