Doctor profile · Federal record
Dr. DANIEL FISTERE, M.D.
Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · Diagnostic Neuroimaging (Radiology) Physician · FAIRFAX, VA
- NPI 1528358199
- Accepts Medicare
- MIPS 56.6 / 100 · 2023
- 15 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2722 MERRILEE DR, STE 230
FAIRFAX, VA 220314400
(703) 698-4488 - Additional location
-
1275 York Ave, Department of Radiology
New York, NY 100656007
(212) 639-2060
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- September 28, 2020
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Virginia #0101263565 · New York #287924-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528358199. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,665
Distinct HCPCS
10
Medicare allowed
$248,508
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,312 | 47 | $0 | |
A9576 |
Injection, gadoteridol, (prohance multipack), per ml | 1,381 | 87 | $1 | |
70450 |
Ct scan head or brain without contrast | 694 | 673 | $42 | |
72125 |
Ct scan of upper spine without contrast | 230 | 226 | $49 | |
70553 |
Mri scan of brain before and after contrast | 200 | 198 | $118 | |
70551 |
Mri scan of brain without contrast | 185 | 184 | $76 | |
72148 |
Mri scan of lower spinal canal without contrast | 134 | 99 | $159 | |
70498 |
Ct scan of blood vessels of neck with contrast | 113 | 113 | $85 | |
70496 |
Ct scan of blood vessels of head with contrast | 112 | 111 | $89 | |
72131 |
Ct scan of lower spine without contrast | 109 | 108 | $49 |
In context: peer comparison
Among 46 peers in this city , average services per provider: 320. This provider delivers 27× the peer median.