Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Roderick Jack Willmore, MD

Individual provider Diagnostic Radiology Physician · NPI 1346538253

Dr. Roderick Jack Willmore, MD practises Diagnostic Radiology in Idaho Falls, Idaho. Graduated from Virginia Commonwealth University, School of Medicine in 2011, 15 years ago. Practices with Teton Radiology Caldwell, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
ID
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 529-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M13586 (ID)

Record details

NPI number1346538253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2011
Last updated in NPPESMay 15, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Teton Radiology Caldwell — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients4,575
Services billed 8,270 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Teton Radiology Caldwell

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 16 clinicians in the practice; 8 are shown here.

Other providers in Idaho Falls