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

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: October 18, 2026.

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

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 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
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

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

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.

Medicare Billing Reassignments

9

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

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Multi-Specialty
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • 819 clinicians in this Medicare group
Multi-Specialty
701 HEWITT BLVD
Red Wing, MN 55066
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,571 clinicians in this Medicare group
Multi-Specialty
501 STATE ST N
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,572 clinicians in this Medicare group
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Minnesota enrollment
  • 330 clinicians in this Medicare group
Multi-Specialty
2321 STOUT RD
Menomonie, WI 54751
  • Reassigned Medicare billing, Minnesota enrollment
  • 251 clinicians in this Medicare group
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
Multi-Specialty
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • 592 clinicians in this Medicare group
Multi-Specialty
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 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 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

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.

Nurse Practitioner
200 FIRST STREET SW
ROCHESTER, MN 55905
Pharmacist
200 FIRST STREET SW
ROCHESTER, MN 55905
Specialist/Technologist (Athletic Trainer)
200 FIRST STREET SW
ROCHESTER, MN 55905
Hospice Care, Community Based
200 FIRST STREET SW
ROCHESTER, MN 55905
Physical Medicine & Rehabilitation
200 FIRST STREET SW
ROCHESTER, MN 55905
Nurse Practitioner
200 FIRST STREET SW
ROCHESTER, MN 55905
Physician Assistant
200 FIRST STREET SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Neurology)
200 FIRST STREET SW
ROCHESTER, MN 55905

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 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.

Where is Paul Thacker located?

Paul Thacker practices at 200 First Street SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Paul Thacker's specialty?

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

Is Paul Thacker enrolled in Medicare?

Yes. Paul Thacker 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 Paul Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Thacker reassigns Medicare benefits to 9 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI) 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 Paul Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.