Jason R. Pericak, MD
Diagnostic Radiology Physician · Williamsville, NY
Jason R. Pericak, MD is a diagnostic radiology physician with a practice address in Williamsville, New York, and NPI 1689823411, issued on Sep 17, 2008. Check the license (New York 256124, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Jason R. Pericak
- Credential
- MD
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 256124 NY
Self-reported in NPPES; status is on the state search - Practice location
- 111 N Maplemere RD Ste 120, Williamsville, NY 14221
- Phone
- (716) 836-4646
- Enumerated
- Sep 17, 2008
- Record last updated
- Aug 21, 2023
- Fax
- (716) 836-4696
- Medicaid ID
- 03193533 NY
- Medicare enrollment
- Enrolled (PECOS I20100824001000); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Buffalo School Of Medicine, 2004
- Entity
- Type 1 · individual
Also registered at 111 N Maplemere RD Ste 120
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Salah Abdelhadi, M.D.Diagnostic Radiology Physician1326453259
- Phillip Baum, MDDiagnostic Radiology Physician1023016060
- Thomas Bevilacqua, M.D.Diagnostic Radiology Physician1093094005
- Akash Bhatnagar, MDDiagnostic Radiology Physician1437602265
- Jacob Chenez, DODiagnostic Radiology Physician1013479039
- Harris Chengazi, M.D.Vascular & Interventional Radiology Physician1861878837
Verify Jason R. Pericak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 256124Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $114.51
1 payment: food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 5 group practices
- Bradford Radiology PCBradford, PA
- General Physician PCOlean, NY
- Great Lakes Medical Imaging LLCCheektowaga, NY
- Olean Medical Practice PLLCOlean, NY
- Western New York Radiology Associates LLCBuffalo, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
77 diagnostic radiology physician records list a practice address in Williamsville
They are 77 of the 3,530 NPPES records with a practice address in Williamsville, and 3,146 diagnostic radiology physician records in New York.
All 77 in Williamsville → All 3,146 in New York → Every provider in Williamsville →
Other diagnostic radiology physician records in New York
- Adel Abadir, MDMiddletown, NY1760407068
- Valentino Abballe, M.D.New York, NY1710305081
- Mohamed Abbas, MDBrooklyn, NY1811407141
- Almas Abbasi, M.D.Stony Brook, NY1568408599
- Genevieve Abbey, M.D.New York, NY1962678474
- Ghadi AbboudNew York, NY1740936822
- Mohammed Abdeen, MDStony Brook, NY1699379305
- Dalya Abdel-Atti, MDStaten Island, NY1003499112
- Salah Abdelhadi, M.D.Williamsville, NY1326453259
- Farid Abdo, MDBronx, NY1659379626
Common questions
What is Jason R. Pericak, MD's NPI number?
Jason R. Pericak, MD's National Provider Identifier (NPI) is 1689823411, issued on Sep 17, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Jason R. Pericak, MD located?
The NPPES record lists a practice address at 111 N Maplemere RD Ste 120, Williamsville, NY, 14221. Phone: (716) 836-4646. Providers update this record themselves, so call before visiting.
How can I verify Jason R. Pericak, MD's license?
NPPES lists New York license number 256124, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Jason R. Pericak, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.