Lebanon Pet Scan Center, LLC
NPI 1114551132 · Diagnostic Radiology Physician · Lebanon, TN
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lebanon Pet Scan Center, LLC is a Diagnostic Radiology Physician organization in Lebanon, TN (NPI 1114551132).
Provider details
- NPI number
- 1114551132
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pattie Douglas, Payer Relations Manager(615) 514-6876
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
946 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up to 45 MillicuriesA9552 | 181 | $242 |
| Nuclear Medicine Study From Skull Base to Mid-Thigh With Ct Scan78815 | 167 | $1,287 |
| Ct Scan of Chest With Contrast71260 | 160 | $63 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 130 | $197 |
| Gallium Ga-68 Gozetotide, Diagnostic, (illuccix), 1 MillicurieA9596 | 88 | $1,054 |
| Ct Scan of Chest Without Contrast71250 | 76 | $51 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-28
- Last updated
- 2020-02-28
- Certified
- 2020-02-28
Frequently asked questions
- What is Lebanon Pet Scan Center, LLC's NPI number?
- Lebanon Pet Scan Center, LLC's National Provider Identifier (NPI) is 1114551132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lebanon Pet Scan Center, LLC?
- Lebanon Pet Scan Center, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Lebanon Pet Scan Center, LLC located?
- Lebanon Pet Scan Center, LLC's practice location on file with NPPES is 103 Physicians Way Ste 100, Lebanon, TN 37090-4129.
- What is Lebanon Pet Scan Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lebanon Pet Scan Center, LLC is (615) 329-0570.
- Does Lebanon Pet Scan Center, LLC accept Medicare?
- Lebanon Pet Scan Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lebanon Pet Scan Center, LLC?
- The authorized official listed on Lebanon Pet Scan Center, LLC's NPPES record is Pattie Douglas, Payer Relations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lebanon Pet Scan Center, LLC's NPI active?
- Yes — Lebanon Pet Scan Center, LLC's NPI (1114551132) is active in the NPPES registry as of the last update on 2020-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.