Doctor profile · Federal record
Dr. RODERICK WILLMORE, M.D.
Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · IDAHO FALLS, ID
- NPI 1346538253
- Accepts Medicare
- MIPS 58.5 / 100 · 2023
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3100 CHANNING WAY
IDAHO FALLS, ID 834047533
(208) 529-6111 - Mailing address
-
2265 E SUNNYSIDE RD
IDAHO FALLS, ID 834047598
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- May 15, 2017
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Idaho #M13586
- Medicaid
- ID #1346538253
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346538253. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,412
Distinct HCPCS
10
Medicare allowed
$162,263
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9585 |
Injection, gadobutrol, 0.1 ml | 2,460 | 26 | $0 | |
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,275 | 12 | $0 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 974 | 973 | $9 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 506 | 499 | $24 | |
71045 |
X-ray of chest, 1 view | 311 | 299 | $8 | |
77067 |
Screening mammography | 294 | 294 | $34 | |
77063 |
Screening 3d breast mammography | 288 | 288 | $27 | |
77081 |
Dxa bone density measurement of forearm, finger, hand, or foot | 159 | 159 | $9 | |
77063 |
Screening 3d breast mammography | 155 | 148 | $38 | |
77067 |
Screening mammography | 155 | 148 | $81 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 94. This provider delivers 89× the peer median.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GE HEALTHCARE | 1 | $24.25 |