Jason Michael Polder, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

219506 Issued in OR

Practice address

9205 SW Barnes Rd Ste 150
Portland, OR 97225-6603

Phone

(503) 216-4830

Fax

(503) 216-4850

NPI assigned

Mar 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, OR3 enrollments

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 3

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Ohio State University College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TRG, LLCGroup PAC ID 8820283617, 35 clinicians

Center for Medical Imaging LLCGroup PAC ID 9335191543, 28 clinicians

Bridgeport Medical Imaging, LLCGroup PAC ID 3173670411, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
• Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
• Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303
• Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
• Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Merit-based Incentive Payment System (MIPS)

Final score

92.65 of 100Reported as apm

Quality

85.31

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as group

Quality

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.54 of 100Reported as group

Quality

84.62

Improvement activities

40

Cost

76.68

Merit-based Incentive Payment System (MIPS)

Final score

45.93 of 100Reported as group

Quality

36.39

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

68.81 of 100Reported as group

Quality

37.61

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75.84 of 100Reported as group

Quality

51.68

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.78 of 100Reported as group

Quality

100

Improvement activities

40

Cost

85.93

Merit-based Incentive Payment System (MIPS)

Final score

45.94 of 100Reported as group

Quality

36.41

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bridgeport Medical Imaging, LLC

  dba Center for Medical Imaging-Bridgeport

  • Diagnostic Radiology Physician
  • Tigard, OR
  • NPI 1922253525
  Medicare reassignment Care Compare group NPD
• Center for Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Hillsboro, OR
  • NPI 1275505448
  Medicare reassignment Care Compare group NPD
• TRG, LLC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1467771121
  Medicare reassignment Care Compare group NPD
• Fair Oaks Imaging Center, PC

  • Diagnostic Radiology Physician
  • Fairfax, VA
  • NPI 1063437903

  DC

  Medicare reassignment NPD
• Loudoun Imaging Center/Ashburn, LLC

  • Radiology Clinic/Center
  • Ashburn, VA
  • NPI 1568615094

  Diagnostic Radiology

  Medicare reassignment NPD
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  Medicare reassignment NPD
• MRI of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1164447025

  DC

  Medicare reassignment NPD
• Pet of Reston, LP

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1922024041

  DC

  Medicare reassignment NPD
• Reston Radiology Consultants, PC

  • Diagnostic Radiology Physician
  • Reston, VA
  • NPI 1235307034

  DC

  Medicare reassignment NPD
• Loudoun Medical Group, PC

  dba Loudoun Medical Group, PC 'D'

  • Vascular Surgery Physician
  • Reston, VA
  • NPI 1588376321
  NPD
• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon

  dba Providence Portland Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1003991845
  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation
• Providence Health & Services - Oregon

  • Case Manager/Care Coordinator
  • Portland, OR
  • NPI 1891822995

  Hospital

  Care Compare affiliation
• Providence Health & Services - Oregon

  dba Providence Newberg Medical Center

  • General Acute Care Hospital
  • Newberg, OR
  • NPI 1952482275
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Hood River Memorial Hospital

  • Critical Access Hospital
  • Hood River, OR
  • NPI 1255429338
  Care Compare affiliation
• Providence Health & Services Oregon

  dba Providence Seaside Hospital

  • Critical Access Hospital
  • Seaside, OR
  • NPI 1578500492
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1144751470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25180",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972980180",
            "telephone_number": "503-797-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-4830",
            "fax_number": "503-216-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLDER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "219503",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "219506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia M Polance, PSYD
• Sara Polanco, ND
• Adam Polansky, LAC
• Denise Marie Polaski, MD
• Mustafa Fazil Polat, MD
• Patricia A Polen, MSW
• Natasha Andrea Polensek, MD
• Tatyana Nikolaevna Poleon, L.D.
• Donald David Polevacik, M.S.S.A.
• Vladislav L Polevoy, COTA

• Vascular & Interventional Radiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Vascular & Interventional Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.