Individual provider Active NPI

Jason Christopher Gilster, M.D.

  • Surgery Physician
  • Tigard, OR
National Provider Identifier
1033208343
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD22087 Issued in OR
Practice address
7421 SW Bridgeport Rd Ste 215
Tigard, OR 97224-7707
Phone
(971) 297-3007
Fax
(503) 598-7765
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD22087 OR Primary

Addresses

Primary practice location

7421 SW Bridgeport Rd Ste 215
Tigard, OR 97224-7707

Mailing address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone (541) 382-8346

Other practice location 1

5289 NE Elam Young Pkwy Ste 150
Hillsboro, OR 97124-7551
Phone (971) 297-3007

Other identifiers 2

IdentifierTypeStateIssuer
138058MedicaidOR
8490328MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000292 OR Practitioner - General Surgery 2466545371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inovia LLCGroup PAC ID 2860592854, 15 clinicians
Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians

Practice addresses (Care Compare)

1700 NW 167TH PL
Suite 245
Beaverton, OR 97006-8110
Phone (503) 447-4125

7421 SW Bridgeport Rd
Suite 215
Tigard, OR 97224-7707
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
88.93
Promoting interoperability
93
Improvement activities
40
Cost
69.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal529
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22087ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inovia LLC CurrentSince Oct 1, 2018 Accepting new patients

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

5289 NE Elam Young Pkwy
Ste 150
Hillsboro, OR 97124
Phone (971) 353-4925

911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666

9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: jason.gilster@ivsc.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1033208343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 SW BRIDGEPORT RD STE 215",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247707",
            "telephone_number": "971-297-3007",
            "fax_number": "503-598-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5289 NE Elam Young Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247551",
            "country_code": "US",
            "telephone_number": "971-297-3007",
            "fax_number": "503-598-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILSTER",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD22087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138058",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8490328",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.