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 this city , 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 |