National Provider Identifier
Jason R Pericak, MD
Jason R Pericak, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Williamsville, NY and a listed phone number of (716) 836-4646.
Source: public NPPES record, last updated August 21, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689823411
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- September 17, 2008
- Last Updated
- August 21, 2023
Practice Location
- 111 N Maplemere RD Ste 120
- Williamsville, NY 14221-3178
Phone: (716) 836-4646
Specialties
- Diagnostic Radiology Physician (2085R0202X)
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Medicare Part B Activity
Reported 20,314 Medicare fee-for-service service lines in 2024.
Peer comparison
Compared to Radiology providers in the Buffalo, NY metro area.
This provider is in the 95th percentile for Medicare service volume.
Among the highest-volume peers.
Performs 839% more Medicare services than the peer median.
Higher than 144 of 152 peers.
- Activity Percentile
- 94.7%
- Rank by Services
- 8 of 152
- Total Services
- 20,314
- Est. Allowed Value
- $328,612.80
- Dataset Year
- 2024
- Drug Code Share
- 77.9%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Radiology classification rather than the exact subspecialty label shown elsewhere on the page.
Drug-related HCPCS codes make up 77.9% of reported Medicare services, so the claim mix is dominated by administered-drug billing lines.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Radiology across the Buffalo, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 11 to 58,342 total Medicare services.
Top Clinical Services
- 77067: Screening mammography
745 services | $50,960.56
- 71045: X-ray of chest, 1 view
328 services | $2,613.52
- 71046: X-ray of chest, 2 views
315 services | $8,543.16
- 77080: Dxa bone density measurement of hip, pelvis, spine
226 services | $7,769.13
- 77063: Screening 3d breast mammography
209 services | $10,244.36
Common Drug-Related Codes
- Q9967: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
15,251 services | $2,007.40
- A9577: Injection, gadobenate dimeglumine (multihance), per ml
578 services | $568.74
Biography
Jason R. Pericak, MD, is a breast imaging radiologist with Great Lakes Medical Imaging, where his background includes medical school at the University at Buffalo, diagnostic radiology training at the University of South Florida, and a breast imaging fellowship at the University of Maryland. GLMI has listed him as UB core faculty in breast imaging and a clinical assistant professor, and he has served in leadership for GLMI’s breast care services, including its breast cancer risk assessment and genetic testing program.
Full Record
- NPI
- 1689823411
- Entity Type
- Individual
- Last Name
- Pericak
- First Name
- Jason
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 111 N Maplemere RD Ste 120
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3178
- Mailing Country
- US
- Mailing Phone
- (716) 836-4646
- Mailing Fax
- (716) 836-4696
- Practice Street Address
- 111 N Maplemere RD Ste 120
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3178
- Practice Country
- US
- Practice Phone
- (716) 836-4646
- Practice Fax
- (716) 836-4696
- Enumeration Date
- September 17, 2008
- Last Updated
- August 21, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 21, 2023
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 03193533 (NY)