Jack Chen, MD
NPI 1104356500ActiveIndividual· Radiology, Diagnostic Radiology· Roseville, MN
Radiology, Diagnostic Radiology (MD) in Roseville, Minnesota, trained at Saint Louis University School of Medicine (class of 2017). Mostly services rather than prescriptions: Medicare paid $82,888 for 2,189 patients in 2024, with only 17 Part D claims. Atricure, Inc. was the largest of 2 companies reporting payments in 2025, $88.39 in all, mostly food and beverage.
Overview
| NPI | 1104356500 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 18, 2017 |
| Last updated in NPPES | Jul 31, 2023 |
| Certified by provider | Jul 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 74190 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (MN); Practitioner - Diagnostic Radiology (ND); Practitioner - Diagnostic Radiology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,189 |
|---|---|
| Services billed | 3,068 across 93 procedure codes |
| Paid by Medicare | $82,888 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $122.54 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
- The Duluth Clinic LtdHermantown, MN · 1,144 clinicians
- Altru Health SystemGrand Forks, ND · 684 clinicians
- Ridgeview Medical CenterRoseville, MN · 412 clinicians
- Range Regional Health ServicesHibbing, MN · 353 clinicians
- Grand Itasca Clinic and HospitalGrand Rapids, MN · 323 clinicians
- Midwest Radiology PARoseville, MN · 226 clinicians
- Marshfield Clinic IncRoseville, MN · 207 clinicians
- Lutheran Charity AssociationRoseville, MN · 175 clinicians
- St. Joseph's Hospital and Health CenterDickinson, ND · 157 clinicians
- Suburban Imaging LLCCoon Rapids, MN · 149 clinicians
Hospital affiliations
- Amery Hospital & ClinicAmery, WI
- Hudson HospitalHudson, WI
- Lakeview Memorial HospitalStillwater, MN
- Regions HospitalSaint Paul, MN
- Westfields Hospital and ClinicNew Richmond, WI
Industry payments (Open Payments)
- 2025$88.39 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Atricure, Inc. | $65.28 | 1 |
| Bridgebio Pharma, Inc. | $23.11 | 1 |
What the 2025 payments were for
- Food and Beverage$88.39 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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