ERIC MOLDESTAD (MD) – Diagnostic Radiology Physician, NPI 1104018951
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for ERIC MOLDESTAD (MD)
1055 N Curtis Rd
Boise, ID 837061309
Phone: (208) 367-4320
Fax: (208) 367-6177
Type: Location
3330 Masonic Dr
Alexandria, LA 713013841
Phone: (318) 448-6734
Type: Location
2020 PALOMINO LN STE 100
LAS VEGAS, NV 891064894
Phone: (702) 759-8600
Fax: (702) 384-1815
Type: Mailing
2020, Palomino Lane, Rancho Circle, Las Vegas, Clark County, Nevada, 89106, United States
STE 100
LAS VEGAS, NV 891064894
Phone: (702) 759-8600
Fax: (702) 384-1815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,157.
Total Amount is formed as General ($1,157) + Research ($0) + Ownership ($0) = $1,157.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Penumbra, Inc. ($645).
Total Amount
$1,157
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $645 |
| Sirtex Medical Inc | $279 |
| Medtronic, Inc. | $140 |
| Inari Medical, Inc. | $50 |
| Boston Scientific Corporation | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120626000401 | I | Diagnostic Radiology | NV | TBD |
| I20250102002494 | I | Interventional Radiology | CO | TBD |
| I20260106004107 | I | Interventional Radiology | LA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,590 | 44 | $0 |
| 71045 | X-ray of chest, 1 view | 840 | 731 | $0 |
| 70450 | Ct scan head or brain without contrast | 231 | 227 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 210 | 208 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 156 | 156 | $0 |
Insurance plans in this area (ZIP 83706)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NV | 71010 | X-ray of chest, 1 view, front | 999 | 775 |
| DIAGNOSTIC RADIOLOGY | NV | 71250 | CT scan chest | 70 | 69 |
| DIAGNOSTIC RADIOLOGY | NV | 73630 | X-ray of foot, minimum of 3 views | 33 | 29 |
| DIAGNOSTIC RADIOLOGY | NV | 74177 | CT scan of abdomen and pelvis with contrast | 81 | 78 |
| DIAGNOSTIC RADIOLOGY | NV | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 53 | 53 |
| DIAGNOSTIC RADIOLOGY | NV | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NV | |
| - | NV | |
| - | MN | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NV | |
| - | OR |
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