Doctor profile · Federal record
Dr. Ivan Dequesada, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Fort Worth, TX
- NPI 1780902593
- MIPS 93.7 / 100 · 2023
- 16 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
815 Pennsylvania Ave
Fort Worth, TX 761042224
(817) 321-0300 - Mailing address
-
816 W Cannon St
Fort Worth, TX 761043146
Credentials & registration
- NPI registered
- May 2010 — 16 yrs on file
- Profile last updated
- July 30, 2025
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Texas #Q7548 · Georgia #004915
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780902593. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,388
Distinct HCPCS
10
Medicare allowed
$198,860
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
70450 |
Ct scan head or brain without contrast | 1,012 | 950 | $39 | |
71045 |
X-ray of chest, 1 view | 800 | 745 | $9 | |
72125 |
Ct scan of upper spine without contrast | 330 | 324 | $46 | |
70551 |
Mri scan of brain without contrast | 181 | 181 | $69 | |
70498 |
Ct scan of blood vessels of neck with contrast | 177 | 177 | $79 | |
70496 |
Ct scan of blood vessels of head with contrast | 176 | 176 | $82 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 165 | 162 | $86 | |
72131 |
Ct scan of lower spine without contrast | 146 | 144 | $46 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 116 | 114 | $82 | |
70553 |
Mri scan of brain before and after contrast | 101 | 99 | $109 |
In context: peer comparison
Among 91 peers in this city , average services per provider: 88. This provider delivers 50× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Ivan Dequesada's medical specialty?
Dr. Ivan Dequesada practices Diagnostic Radiology Physician in Fort Worth, TX.
Where does Dr. Ivan Dequesada practice?
Dr. Ivan Dequesada practices at 815 Pennsylvania Ave, Fort Worth, TX 761042224. Office phone: 8173210300.
What is Dr. Ivan Dequesada's NPI?
Dr. Ivan Dequesada's National Provider Identifier (NPI) is 1780902593, issued by NPPES.
Does Dr. Ivan Dequesada accept Medicare assignment?
Dr. Ivan Dequesada does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Ivan Dequesada commonly perform?
Top Medicare-reported procedures in 2023: Ct scan head or brain without contrast (HCPCS 70450); X-ray of chest, 1 view (HCPCS 71045); Ct scan of upper spine without contrast (HCPCS 72125). Source: CMS Medicare Physician & Other Practitioners file.