Doctor profile · Federal record
Dr. Blake Niederhauser, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Boise, ID
- NPI 1578726683
- Accepts Medicare
- MIPS 81.5 / 100 · 2023
- 18 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
190 E Bannock St
Boise, ID 837126241
(208) 381-2094
fax (208) 381-1791 - Mailing address
-
Po Box 1108
Corvallis, OR 973391108
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- January 10, 2018
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Idaho #M-12384 · Minnesota #104451 · Minnesota #52314
- Medicaid (2)
- IA #ENROLLED · MN #ENROLLED
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578726683. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,084
Distinct HCPCS
10
Medicare allowed
$160,401
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 899 | 817 | $8 | |
71046 |
X-ray of chest, 2 views | 866 | 837 | $10 | |
71250 |
Ct scan of chest without contrast | 681 | 640 | $49 | |
71275 |
Ct scan of blood vessels of chest with contrast | 385 | 372 | $82 | |
71260 |
Ct scan of chest with contrast | 354 | 306 | $52 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 233 | 201 | $83 | |
71271 |
Low dose ct scan of chest for lung cancer screening | 160 | 160 | $49 | |
78815 |
Nuclear medicine study from skull base to mid-thigh with ct scan | 74 | 60 | $109 | |
71101 |
X-ray of ribs on side of body, minimum of 3 views | 67 | 67 | $12 | |
75572 |
Ct scan of heart structure with contrast | 59 | 58 | $79 |
In context: peer comparison
Among 30 peers in Boise Diagnostic Radiology Physician, average services per provider: 130. This provider delivers 31× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cleerly, INC. | 1 | $43.78 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Blake Niederhauser's medical specialty?
Dr. Blake Niederhauser practices Diagnostic Radiology Physician in Boise, ID.
Where does Dr. Blake Niederhauser practice?
Dr. Blake Niederhauser practices at 190 E Bannock St, Boise, ID 837126241. Office phone: 2083812094.
What is Dr. Blake Niederhauser's NPI?
Dr. Blake Niederhauser's National Provider Identifier (NPI) is 1578726683, issued by NPPES.
Does Dr. Blake Niederhauser accept Medicare assignment?
Yes. Dr. Blake Niederhauser accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Blake Niederhauser commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); X-ray of chest, 2 views (HCPCS 71046); Ct scan of chest without contrast (HCPCS 71250). Source: CMS Medicare Physician & Other Practitioners file.