Teton Sports & Spine Imaging, LLC
NPI 1427574987 · Magnetic Resonance Imaging (MRI) Clinic/Center · Jackson, WY
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teton Sports & Spine Imaging, LLC is a Magnetic Resonance Imaging (MRI) Clinic/Center organization in Jackson, WY (NPI 1427574987).
Provider details
- NPI number
- 1427574987
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shaun Andrikopoulos, Manager/Partner(307) 201-5380
Specialties & taxonomies
Ambulatory Health Care Facilities
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 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
568 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) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 228 | $122 |
| Mri Scan of Arm Joint Without Contrast73221 | 126 | $141 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 92 | $118 |
| Mri Scan of Leg Joint Without Contrast73721 | 32 | $137 |
| Mri Scan of Lower Spinal Canal Before and After Contrast72158 | 27 | $217 |
| Mri Scan of Middle Spinal Canal Without Contrast72146 | 21 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-16
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Teton Sports & Spine Imaging, LLC's NPI number?
- Teton Sports & Spine Imaging, LLC's National Provider Identifier (NPI) is 1427574987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teton Sports & Spine Imaging, LLC?
- Teton Sports & Spine Imaging, LLC is classified in the NPPES registry as Magnetic Resonance Imaging (MRI) Clinic/Center (Ambulatory Health Care Facilities).
- Where is Teton Sports & Spine Imaging, LLC located?
- Teton Sports & Spine Imaging, LLC's practice location on file with NPPES is 250 Scott Ln Ste 110, Jackson, WY 83001-8060.
- What is Teton Sports & Spine Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Teton Sports & Spine Imaging, LLC is (307) 201-5380.
- Does Teton Sports & Spine Imaging, LLC accept Medicare?
- Teton Sports & Spine Imaging, 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 Teton Sports & Spine Imaging, LLC?
- The authorized official listed on Teton Sports & Spine Imaging, LLC's NPPES record is Shaun Andrikopoulos, Manager/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teton Sports & Spine Imaging, LLC's NPI active?
- Yes — Teton Sports & Spine Imaging, LLC's NPI (1427574987) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.