Mark Idstrom, MD
NPI 1639264443ActiveIndividual· Radiology, Diagnostic Radiology· Shawnee Mission, KS
Radiology, Diagnostic Radiology (MD) in Shawnee Mission, Kansas, trained at University of Minnesota Medical School (class of 1975). Medicare paid $15,718 for services to 699 patients in 2024.
Overview
| NPI | 1639264443 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | R2J97 | MO |
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 (FL); Practitioner - Diagnostic Radiology (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 699 |
|---|---|
| Services billed | 885 across 40 procedure codes |
| Paid by Medicare | $15,718 |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 1975 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- The Curators of the University of MissouriColumbia, MO · 1,131 clinicians
Hospital affiliations
- Boone Hospital CenterColumbia, MO
- University of Missouri Health CareColumbia, MO
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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All 15 diagnostic radiologists in Shawnee Mission · All diagnostic radiologists in Kansas