Mark Idstrom, MD
NPI 1639264443 · Diagnostic Radiology Physician · Shawnee Mission, KS
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Idstrom, MD is a Diagnostic Radiology Physician provider in Shawnee Mission, KS (NPI 1639264443).
Provider details
- NPI number
- 1639264443
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R2J97 (MO)
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
19 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
764 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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 314 | $8 |
| X-Ray of Chest, 2 Views71046 | 130 | $10 |
| Ct Scan of Chest With Contrast71260 | 106 | $54 |
| X-Ray of Chest, 2 Views71046 | 50 | $10 |
| Ct Scan of Chest Without Contrast71250 | 31 | $50 |
| Imaging for Evaluation of Swallowing Function74230 | 19 | $25 |
| Ct Scan of Blood Vessels of Chest With Contrast71275 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Idstrom's NPI number?
- Mark Idstrom's National Provider Identifier (NPI) is 1639264443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Idstrom's specialty?
- Mark Idstrom is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Idstrom located?
- Mark Idstrom's practice location on file with NPPES is 9100 W 74th St, Shawnee Mission, KS 66204-4004.
- What is Mark Idstrom's phone number?
- The practice phone number listed in the NPPES registry for Mark Idstrom is (913) 676-2310.
- Does Mark Idstrom accept Medicare?
- Mark Idstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Idstrom's NPI active?
- Yes — Mark Idstrom's NPI (1639264443) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.