Doctor profile · Federal record
Dr. Jaclyn Andrick, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · West des Moines, IA
- NPI 1740662857
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5950 University Ave Ste 145
West des Moines, IA 502668233
(515) 244-5109 - Mailing address
-
Po Box 424
Des Moines, IA 503020424
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- December 11, 2023
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Iowa #MD-47354
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740662857. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
17,344
Distinct HCPCS
10
Medicare allowed
$283,884
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 11,659 | 138 | $0 | |
A9585 |
Injection, gadobutrol, 0.1 ml | 2,790 | 33 | $0 | |
77067 |
Screening mammography | 887 | 887 | $121 | |
77063 |
Screening 3d breast mammography | 770 | 770 | $50 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 183 | 176 | $50 | |
77065 |
Diagnostic mammography of 1 breast | 138 | 131 | $118 | |
76642 |
Limited ultrasound scan of 1 breast | 120 | 117 | $85 | |
77066 |
Diagnostic mammography of both breasts | 78 | 78 | $149 | |
71046 |
X-ray of chest, 2 views | 77 | 73 | $32 | |
71250 |
Ct scan of chest without contrast | 65 | 65 | $125 |
In context: peer comparison
Among 4 peers in West des Moines Diagnostic Radiology Physician, average services per provider: 530. This provider delivers 33× the peer median.Open Payments
Industry payments received
All-time total
$128
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Myriad Genetic Laboratories, INC. | 2 | $127.97 |
By nature of payment
Frequently asked questions
What is Dr. Jaclyn Andrick's medical specialty?
Dr. Jaclyn Andrick practices Diagnostic Radiology Physician in West des Moines, IA.
Where does Dr. Jaclyn Andrick practice?
Dr. Jaclyn Andrick practices at 5950 University Ave Ste 145, West des Moines, IA 502668233. Office phone: 5152445109.
What is Dr. Jaclyn Andrick's NPI?
Dr. Jaclyn Andrick's National Provider Identifier (NPI) is 1740662857, issued by NPPES.
Does Dr. Jaclyn Andrick accept Medicare assignment?
Dr. Jaclyn Andrick does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Jaclyn Andrick commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Injection, gadobutrol, 0.1 ml (HCPCS A9585); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.