JASON MICHAEL POLDER M.D.
NPI 1144751470
Radiology - Vascular & Interventional Radiology in Portland, OR
About Jason Michael Polder M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON MICHAEL POLDER M.D. (NPI 1144751470) is an individual vascular & interventional radiology provider in Portland, Oregon, licensed in Oregon (219506) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Ohio State University College Of Medicine (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jason Michael Polder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show Jason Polder reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 37 clinicians in this Medicare group
Hillsboro, OR 97124
- Reassigned Medicare billing, Oregon enrollment
- 37 clinicians in this Medicare group
Tigard, OR 97224
- Reassigned Medicare billing, Oregon enrollment
- 39 clinicians in this Medicare group
Purcellville, VA 20132
- Reassigned Medicare billing, Virginia enrollment
- 291 clinicians in this Medicare group
Ashburn, VA 20147
- Reassigned Medicare billing, Virginia enrollment
- 33 clinicians in this Medicare group
Reston, VA 20190
- Reassigned Medicare billing, District of Columbia enrollment
- 29 clinicians in this Medicare group
Reston, VA 20190
- Reassigned Medicare billing, District of Columbia enrollment
- 33 clinicians in this Medicare group
Reston, VA 20190
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 36 clinicians in this Medicare group
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 52
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORProvidence Seaside Hospital
Critical Access Hospitals · Seaside, ORProvidence Hood River Memorial Hospital
Critical Access Hospitals · Hood River, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97225
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jason Polder's NPI number?
The NPI number for Jason Polder is 1144751470. It was assigned to this individual provider in the NPPES registry on March 27, 2017.
Where is Jason Polder located?
Jason Polder practices at 9205 SW Barnes Rd Ste 150, Portland, OR 97225. The listed phone number is (503) 216-4830.
What is Jason Polder's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Jason Polder enrolled in Medicare?
Yes. Jason Polder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jason Polder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Polder reassigns Medicare benefits to 9 organizations: Trg, LLC (Portland, OR), Center For Medical Imaging LLC (Hillsboro, OR), Bridgeport Medical Imaging, LLC (Tigard, OR), Loudoun Medical Group, PC (Purcellville, VA), Loudoun Imaging Center/Ashburn, LLC (Ashburn, VA) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Polder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jason Polder affiliated with any hospitals?
According to CMS data, Jason Polder is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Portland Medical Center, Providence Seaside Hospital and Providence Hood River Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jason Polder was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.