Doctor profile · Federal record
Dr. Jason Pericak, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Williamsville, NY
- NPI 1689823411
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 N Maplemere RD Ste 120
Williamsville, NY 142213178
(716) 836-4646
fax (716) 836-4696
Credentials & registration
- NPI registered
- September 2008 — 18 yrs on file
- Profile last updated
- August 21, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- New York #256124
- Medicaid
- NY #03193533
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689823411. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
16,511
Distinct HCPCS
10
Medicare allowed
$258,852
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 12,575 | 128 | $0 | |
A9577 |
Injection, gadobenate dimeglumine (multihance), per ml | 634 | 41 | $1 | |
71046 |
X-ray of chest, 2 views | 319 | 305 | $22 | |
71045 |
X-ray of chest, 1 view | 247 | 234 | $8 | |
71250 |
Ct scan of chest without contrast | 218 | 211 | $86 | |
77067 |
Screening mammography | 203 | 203 | $123 | |
71271 |
Low dose ct scan of chest for lung cancer screening | 185 | 185 | $76 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 147 | 147 | $36 | |
77063 |
Screening 3d breast mammography | 127 | 127 | $51 | |
76641 |
Complete ultrasound scan of 1 breast | 112 | 107 | $137 |
In context: peer comparison
Among 32 peers in Williamsville Diagnostic Radiology Physician, average services per provider: 341. This provider delivers 48× the peer median.Open Payments
Industry payments received
All-time total
$115
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $114.51 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Jason Pericak's medical specialty?
Dr. Jason Pericak practices Diagnostic Radiology Physician in Williamsville, NY.
Where does Dr. Jason Pericak practice?
Dr. Jason Pericak practices at 111 N Maplemere RD Ste 120, Williamsville, NY 142213178. Office phone: 7168364646.
What is Dr. Jason Pericak's NPI?
Dr. Jason Pericak's National Provider Identifier (NPI) is 1689823411, issued by NPPES.
Does Dr. Jason Pericak accept Medicare assignment?
Yes. Dr. Jason Pericak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jason Pericak commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Injection, gadobenate dimeglumine (multihance), per ml (HCPCS A9577); X-ray of chest, 2 views (HCPCS 71046). Source: CMS Medicare Physician & Other Practitioners file.