STEPHAN G THIEDE (MD) – Diagnostic Radiology Physician, NPI 1346277399
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for STEPHAN G THIEDE (MD)
910 S Scheuber Rd
Centralia, WA 985319027
Phone: (360) 736-0200
Fax: (360) 736-0380
Type: Location
700 Lincoln St Ste 100
Kelso, WA 986261062
Phone: (360) 425-5131
Fax: (360) 425-5509
Type: Location
445 HARLOW RD STE 200
SPRINGFIELD, OR 974771341
Phone: (541) 302-7771
Type: Mailing
1200 HILYARD ST
EUGENE, OR 974018122
Phone: (541) 687-7134
Fax: (541) 687-7135
Type: Location
Peace Health Medical Center University District, 1255, Hilyard Street, Eugene, Lane County, Oregon, 97401, United States
EUGENE, OR 97401
Phone: (541) 687-7134
Fax: (541) 687-7135
Type: Location
53, Eugene Drive, Suffolk County, New York, 11754, United States
EUGENE, OR 97440
Phone: (541) 687-7134
Fax: (541) 687-7135
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-08-07
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 |
|---|---|---|---|---|
| I20050624000706 | I | Diagnostic Radiology | OR | TBD |
| I20240709001882 | I | Diagnostic Radiology | WA | TBD |
| I20240807003069 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 12,035 | 152 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,203 | 52 | $0 |
| 71045 | X-ray of chest, 1 view | 563 | 507 | $0 |
| 70551 | Mri scan of brain without contrast | 349 | 281 | $0 |
| 70553 | Mri scan of brain before and after contrast | 312 | 201 | $0 |
Insurance plans in this area (ZIP 98531)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OR | 71250 | CT scan chest | 21 | 21 |
| DIAGNOSTIC RADIOLOGY | OR | 73110 | X-ray of wrist, minimum of 3 views | 21 | 21 |
| DIAGNOSTIC RADIOLOGY | OR | 73562 | X-ray of knee, 3 views | 21 | 18 |
| DIAGNOSTIC RADIOLOGY | OR | 73630 | X-ray of foot, minimum of 3 views | 41 | 22 |
| DIAGNOSTIC RADIOLOGY | OR | 74177 | CT scan of abdomen and pelvis with contrast | 34 | 24 |
| DIAGNOSTIC RADIOLOGY | OR | 76830 | Ultrasound pelvis through vagina | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | OR | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR |
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