Thomas Andrew Vanderjagt, MD, PH.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD186415 Issued in OR

Practice address

233 NE 102ND Ave
Portland, OR 97220-4106

Phone

(503) 253-1105

NPI assigned

Apr 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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 2

Specialty

Diagnostic Radiology

Education

University of New Mexico School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.09 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.27 of 100Reported as group

Quality

90.59

Improvement activities

40

Cost

81.48

Merit-based Incentive Payment System (MIPS)

Final score

97.06 of 100Reported as group

Quality

100

Improvement activities

40

Cost

84.69

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

88.62

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as group

Quality

60.52

Promoting interoperability

100

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21774/brand/1/csg/1/fhir/r4

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.

• The Vancouver Clinic Inc PS

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1992759427
  Medicare reassignment Care Compare group NPD
• Epic Imaging PC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1700983319
  Medicare reassignment NPD
• Acadiana Radiology Group

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1649422726

  OR

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1386426864

  OR

  Medicare reassignment NPD
• Enloe Medical Center

  • Surgery Physician
  • Chico, CA
  • NPI 1477975613

  OR

  Medicare reassignment NPD
• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Monrovia, CA
  • NPI 1528299989

  OR

  Medicare reassignment NPD
• Jason L Hwang MD Inc

  • Diagnostic Radiology Physician
  • Sonora, CA
  • NPI 1811486616

  OR

  Medicare reassignment NPD
• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  OR

  Medicare reassignment NPD
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1710372909

  OR

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Simi Radiology and Imaging Medical Group

  • Diagnostic Radiology Physician
  • Simi Valley, CA
  • NPI 1730132275
  NPD

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1346637063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204106",
            "telephone_number": "503-253-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204106",
            "telephone_number": "503-253-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 10 5550 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-4661",
            "fax_number": "505-272-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERJAGT",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MD, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD186415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Vandergrift, PSYD
• Eden Norma Jean Vanderhoek
• Maddison Paige Vanderhoff, MSW
• Janus K Vanderhoof, CADC II
• Mary Vanderjack
• April L Vanderkamp, RN
• William Michael Vanderlind, PHD
• Thuy Vanderlinde, LCSW
• Trudy Marie Vanderlip
• Vanderloo Chiropractic LLC

• Diagnostic Radiology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.