Peter Dean Poullos, M.D.
NPI 1740478395ActiveIndividual· Radiology, Body Imaging· Stanford, CA
Radiology, Body Imaging (M.D.) with Stanford Health Care, practicing in Stanford, California. In 2024 Medicare paid $108,002 for 1,333 patients, and Part D covered 65 of their prescriptions, 17% of them generic. Neptune Medical Inc. reported $400.00 in payments in 2024, mostly consulting fees. Lists Stanford Health Care as a hospital affiliation.
Overview
| NPI | 1740478395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 9, 2007 |
| Last updated in NPPES | Apr 7, 2024 |
| Certified by provider | Apr 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Body Imaging Primary | 2085B0100X | A73516 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | A73516 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,333 |
|---|---|
| Services billed | 2,099 across 43 procedure codes |
| Paid by Medicare | $108,002 |
Part D prescriptions in 2024
| Prescriptions (claims) | 65 · 65 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $1,223 |
| Generic share | 17% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Stanford Health CareStanford, CA · 3,122 clinicians
Hospital affiliation
- Stanford Health CareStanford, CA
Industry payments (Open Payments)
- 2024$400.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Neptune Medical Inc. | $400.00 | 1 |
What the 2024 payments were for
- Consulting Fee$400.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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