PAUL G THACKER JR. MD, MHA
NPI 1982815817
Radiology - Diagnostic Radiology in Rochester, MN

Q: What is Paul Thacker's NPI number?

The NPI number for Paul Thacker is 1982815817. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Paul Thacker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Thacker was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

200 FIRST STREET SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2020, Apr 11, 2019, Jun 20, 2017 (3 updates tracked since 2017).

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About Paul G Thacker Jr. Md, Mha NPPES

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

PAUL G THACKER JR. MD, MHA (NPI 1982815817) is an individual diagnostic radiology provider in Rochester, Minnesota, licensed in Minnesota (50171) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of University Of Mississippi School Of Medicine (2006).

NPPES Registry Identity

NPI1982815817

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NamePAUL G THACKER JR.Credential: MD, MHA

Location Address200 FIRST STREET SWRochester, MN 55905

Mailing Address200 First Street SwRochester, MN 55905 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2006

Enumeration DateMay 24, 2007

Last NPPES UpdateAugust 20, 20203 updates tracked since enumeration

NPPES CertifiedAugust 20, 2020

✔ NPI 1982815817 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 MN · 50171

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 FIRST STREET SW, Rochester, MN 55905

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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

Paul G Thacker Jr. Md, Mha 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 ID8426159260

PECOS Enrollment IDI20070724000603

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 2

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

8,386 services59 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.

55 services55 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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.

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.

JEANNIE ELIZABETH CLARK CNP

Nurse Practitioner