NICHOLAS HANSON (MD) – Vascular & Interventional Radiology Physician, NPI 1356568661

NICHOLAS HANSON (MD) is a healthcare provider. based in Salem, Oregon. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD174523 (OR). The NPI Number for NICHOLAS HANSON (MD) is 1356568661

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS HANSON (MD)
NPI
1356568661
Phone
(503) 399-1262
Address
2925 RYAN DR SE
Enumeration Date
19 April 2007
Last Update Date
21 November 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5033991262
Graduation Year
2005 (21 years ago)
PAC ID
2860582889
Group Practice PAC ID
0446148498
Professional Enrollment ID
I20160129001615
Address ID
OR973019687SA2925XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

Provider Addresses for NICHOLAS HANSON (MD)

  • 2925 RYAN DR SE

    SALEM, OR 973019687

    Phone: (503) 399-1262

    Fax: (503) 485-3738

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,304.

Total Amount is formed as General ($1,304) + Research ($0) + Ownership ($0) = $1,304.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Terumo Medical Corporation ($942).

Total Amount

$1,304

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2016-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160129001615IDiagnostic RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml24714$0
71046X-ray of chest, 2 views190188$0
71045X-ray of chest, 1 view158133$0
70450Ct scan head or brain without contrast8684$0
74177Ct scan of abdomen and pelvis with contrast8181$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

NICHOLAS HANSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71250CT scan chest2525
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views1313
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast5454
DIAGNOSTIC RADIOLOGYOR76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1212
DIAGNOSTIC RADIOLOGYOR77012Radiological supervision and interpretation of CT guidance for needle insertion2424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446148498View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Physician AssistantOR
Physician AssistantOR
Physician AssistantOR
Diagnostic RadiologyOR
Diagnostic RadiologyNV
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Physician AssistantOR
Physician AssistantOR

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Frequently asked questions

What NPI should I save for NICHOLAS HANSON (MD)?
Save NPI 1356568661 if you need a stable reference for NICHOLAS HANSON (MD).
Is NICHOLAS HANSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NICHOLAS HANSON (MD)?
The page reflects Vascular & Interventional Radiology Physician for NICHOLAS HANSON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place NICHOLAS HANSON (MD)?
The snapshot lists Salem, Oregon for NICHOLAS HANSON (MD); download NPPES for the complete set.
How can I contact NICHOLAS HANSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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