William Russell Bacon, MD
NPI 1609014489ActiveIndividual· Radiology, Diagnostic Radiology· Eden Prairie, MN
Radiology, Diagnostic Radiology (MD) with Radiology Alliance PC, practicing in Eden Prairie, Minnesota. Medicare paid $50,944 for services to 1,116 patients in 2024. Lists Tristar Centennial Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1609014489 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 2, 2009 |
| Last updated in NPPES | Aug 1, 2022 |
| Certified by provider | Aug 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | ME151240 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 47338 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (KY); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,116 |
|---|---|
| Services billed | 1,535 across 102 procedure codes |
| Paid by Medicare | $50,944 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Radiology Alliance PCCharleston, WV · 455 clinicians
Hospital affiliations
- Tristar Centennial Medical CenterNashville, TN
- Tristar Hendersonville Medical CenterHendersonville, TN
- Tristar Horizon Medical CenterDickson, TN
- Tristar Skyline Medical CenterNashville, TN
- Tristar Summit Medical CenterHermitage, TN
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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