Doctor profile · Federal record
Dr. Jack Chen, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Roseville, MN
- NPI 1104356500
- Accepts Medicare
- MIPS 83.5 / 100 · 2023
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2355 Hwy 36 W, Ste. 100
Roseville, MN 55113
(651) 292-2000 - Mailing address
-
2355 Hwy 36 W., Ste. 100
Roseville, MN 55113
Credentials & registration
- NPI registered
- June 2017 — 9 yrs on file
- Profile last updated
- July 31, 2023
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Minnesota #74190
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104356500. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
800
Distinct HCPCS
10
Medicare allowed
$30,744
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 140 | 130 | $8 | |
71046 |
X-ray of chest, 2 views | 133 | 133 | $10 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 105 | 105 | $83 | |
71250 |
Ct scan of chest without contrast | 62 | 62 | $50 | |
71260 |
Ct scan of chest with contrast | 57 | 57 | $52 | |
71275 |
Ct scan of blood vessels of chest with contrast | 52 | 52 | $81 | |
74018 |
X-ray of abdomen, 1 view | 44 | 39 | $8 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 35 | 34 | $80 | |
73502 |
X-ray of hip, 2-3 views | 20 | 20 | $11 | |
76770 |
Complete ultrasound scan behind abdominal cavity | 20 | 20 | $34 |
In context: peer comparison
Among 93 peers in this city , average services per provider: 136. This provider delivers 5.9× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jack Chen's medical specialty?
Dr. Jack Chen practices Diagnostic Radiology Physician in Roseville, MN.
Where does Dr. Jack Chen practice?
Dr. Jack Chen practices at 2355 Hwy 36 W, Roseville, MN 55113. Office phone: 6512922000.
What is Dr. Jack Chen's NPI?
Dr. Jack Chen's National Provider Identifier (NPI) is 1104356500, issued by NPPES.
Does Dr. Jack Chen accept Medicare assignment?
Yes. Dr. Jack Chen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Chen 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 abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.