Doctor profile · Federal record
Dr. Thaddeus Herliczek, MD
Pediatric Radiology Physician (CMS: Interventional Radiology) · Pediatric Radiology Physician · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Boston, MA
- NPI 1053457721
- MIPS 83.8 / 100 · 2023
- 24 yrs in practice
- Licensed in 4 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
300 Longwood Ave
Boston, MA 021155724
(617) 355-6000 - Additional location
-
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
(253) 761-4200
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- February 4, 2026
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 2085P0229X — NUCC code
- State licenses (4)
- Massachusetts #231919 · District of Columbia #MD500003109 · Rhode Island #12603 · Washington #MD70086097
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053457721. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
901
Distinct HCPCS
10
Medicare allowed
$42,851
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
77080 |
Dxa bone density measurement of hip, pelvis, spine | 677 | 677 | $40 | |
71046 |
X-ray of chest, 2 views | 30 | 30 | $11 | |
76775 |
Limited ultrasound scan behind abdominal cavity | 30 | 30 | $61 | |
76700 |
Complete ultrasound scan of abdomen | 28 | 28 | $123 | |
93971 |
Ultrasound study of one arm or leg veins with compression and maneuvers | 27 | 27 | $126 | |
71046 |
X-ray of chest, 2 views | 19 | 19 | $35 | |
71045 |
X-ray of chest, 1 view | 18 | 18 | $9 | |
76536 |
Ultrasound scan of head and neck soft tissue | 18 | 18 | $118 | |
76705 |
Limited ultrasound scan of abdomen | 16 | 16 | $91 | |
73630 |
X-ray of foot, minimum of 3 views | 14 | 11 | $35 |
In context: peer comparison
Among 1 peers in Boston Pediatric Radiology Physician, average services per provider: 75. This provider delivers 12× the peer median.Frequently asked questions
What is Dr. Thaddeus Herliczek's medical specialty?
Dr. Thaddeus Herliczek practices Pediatric Radiology Physician in Boston, MA.
Where does Dr. Thaddeus Herliczek practice?
Dr. Thaddeus Herliczek practices at 300 Longwood Ave, Boston, MA 021155724. Office phone: 6173556000.
What is Dr. Thaddeus Herliczek's NPI?
Dr. Thaddeus Herliczek's National Provider Identifier (NPI) is 1053457721, issued by NPPES.
Does Dr. Thaddeus Herliczek accept Medicare assignment?
Dr. Thaddeus Herliczek does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Thaddeus Herliczek commonly perform?
Top Medicare-reported procedures in 2023: Dxa bone density measurement of hip, pelvis, spine (HCPCS 77080); X-ray of chest, 2 views (HCPCS 71046); Limited ultrasound scan behind abdominal cavity (HCPCS 76775). Source: CMS Medicare Physician & Other Practitioners file.