Theodore J. Hanson, MD
NPI 1417211483ActiveIndividual· Radiology, Diagnostic Radiology· Austin, MN
Radiology, Diagnostic Radiology (MD) with Mayo Clinic Health System-Southwest Wisconsin Region Inc, practicing in Austin, Minnesota. Medicare paid $149,213 for services to 2,253 patients in 2024. Lists Gundersen Lutheran Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1417211483 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 25, 2012 |
| Last updated in NPPES | Jul 6, 2021 |
| Certified by provider | Jul 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 56567 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | 68648-20 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,253 |
|---|---|
| Services billed | 4,201 across 156 procedure codes |
| Paid by Medicare | $149,213 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI · 534 clinicians
Hospital affiliations
- Gundersen Lutheran Medical CenterLa Crosse, WI
- Mayo Clinic Health System Eau Claire HospitalEau Claire, WI
- Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI
- Mayo Clinic Hlth Systm Franciscan Hlthcare SpartaSparta, WI
- Veterans Memorial HospitalWaukon, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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