Blake D. Niederhauser, MD
NPI 1578726683ActiveIndividual· Radiology, Diagnostic Radiology· Boise, ID
Radiology, Diagnostic Radiology (MD) in Boise, Idaho, trained at Vanderbilt University School of Medicine (class of 2008). Medicare paid $123,887 for services to 3,541 patients in 2024. E.R. Squibb & Sons, L.L.C. reported $122.99 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1578726683 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 8, 2008 |
| Last updated in NPPES | Sep 11, 2026 |
| Certified by provider | Sep 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 104451 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | 52314 | MN |
| Radiology, Diagnostic Radiology | 2085R0202X | 24807 | TN |
| Radiology, Diagnostic Radiology | 2085R0202X | M-12384 | ID |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,541 |
|---|---|
| Services billed | 4,538 across 80 procedure codes |
| Paid by Medicare | $123,887 |
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Boise Radiology Group PLLCBoise, ID · 65 clinicians
- Weiser Valley Hospital DistrictWeiser, ID · 60 clinicians
Hospital affiliations
- St Luke's Elmore Medical CenterMountain Home, ID
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
- St Luke's Wood River Medical CenterKetchum, ID
- Weiser Memorial HospitalWeiser, ID
Industry payments (Open Payments)
- 2025$122.99 · 1 payment from 1 company
- 2024$43.78 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $122.99 | 1 |
What the 2025 payments were for
- Food and Beverage$122.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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