Doctor profile · Federal record
Dr. KIMBALL CHRISTIANSON, M.D.
Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Diagnostic Radiology Physician · Student in an Organized Health Care Education/Training Program · PROVO, UT
- NPI 1316113228
- Accepts Medicare
- 21 yrs in practice
- Licensed in 4 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1055 N 500 W, SUITE 112, BLDG. C
PROVO, UT 84604
(801) 812-4624
fax (801) 812-4699
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- December 8, 2023
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (5)
- Utah #10926114-1205 · North Carolina #2010-00277 · Oregon #MD153988 · Idaho #M-11249 · North Carolina #135137
- Medicaid
- ID #1306895016
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316113228. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
6,954
Distinct HCPCS
10
Medicare allowed
$159,002
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,936 | 39 | $0 | |
A9585 |
Injection, gadobutrol, 0.1 ml | 2,290 | 29 | $0 | |
77063 |
Screening 3d breast mammography | 386 | 386 | $50 | |
77067 |
Screening mammography | 386 | 386 | $120 | |
71045 |
X-ray of chest, 1 view | 185 | 163 | $8 | |
70450 |
Ct scan head or brain without contrast | 61 | 58 | $38 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 50 | 49 | $50 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 44 | 43 | $81 | |
76642 |
Limited ultrasound scan of 1 breast | 42 | 42 | $88 | |
77063 |
Screening 3d breast mammography | 37 | 37 | $28 |
In context: peer comparison
Among 23 peers in this city , average services per provider: 151. This provider delivers 46× the peer median.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $23.07 |