Jaclyn Roz Andrick, M.D.
NPI 1740662857ActiveIndividual· Radiology, Diagnostic Radiology· West Des Moines, IA
Radiology, Diagnostic Radiology (M.D.) in West Des Moines, Iowa, trained at University of Iowa, Rj & L Carver College of Medicine (class of 2015). Medicare paid $387,713 for services to 2,336 patients in 2024. Canon Healthcare USA, Inc. was the largest of 2 companies reporting payments in 2025, $814.62 in all, mostly honoraria.
Overview
| NPI | 1740662857 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 25, 2015 |
| Last updated in NPPES | Dec 11, 2023 |
| Certified by provider | Dec 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | MD-47354 | IA |
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 | 2,336 |
|---|---|
| Services billed | 16,931 across 98 procedure codes |
| Paid by Medicare | $387,713 |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Boise Radiology Group PLLCBoise, ID · 65 clinicians
Hospital affiliations
- Saint Alphonsus Regional Medical CenterBoise, ID
- 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
Industry payments (Open Payments)
- 2025$814.62 · 2 payments from 2 companies
- 2024$127.97 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Canon Healthcare USA, Inc. | $800.00 | 1 |
| Hologic Sales and Service, LLC | $14.62 | 1 |
What the 2025 payments were for
- Honoraria$800.00 · 1 payment
- Food and Beverage$14.62 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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