DR. JASON BALTAR RODULFA MD
NPI 1891102620
Radiology - Diagnostic Radiology in Coeur D Alene, ID

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since July 14, 2014PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814(208) 625-6300(208) 625-6301 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2024, Aug 4, 2021, Jul 1, 2020 (3 updates tracked since 2020).

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About Dr. Jason Baltar Rodulfa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON BALTAR RODULFA MD (NPI 1891102620) is an individual diagnostic radiology provider in Coeur D Alene, Idaho, licensed in Idaho (M-17337) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Kellogg.

NPPES Registry Identity

NPI1891102620

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. JASON BALTAR RODULFACredential: MD

Location Address700 W IRONWOOD DR STE 175Coeur D Alene, ID 83814-4401

Mailing Address700 W Ironwood Dr Ste 175Coeur D Alene, ID 83814-4401 · (208) 625-6309 · Fax (208) 625-6310

Phone(208) 625-6300

Fax(208) 625-6301

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 14, 2014

Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2026

✔ NPI 1891102620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in ID · M-17337✔ Licensed in NV · 20293

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 30016 (WV), M-17337 (ID)

700 W IRONWOOD DR STE 175, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 125 Jacobs Gulch RdKellogg, ID 83837-2023 · Phone (208) 784-1221 · Fax (208) 784-0961

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Baltar Rodulfa Md 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.

PECOS PAC ID1456694025

PECOS Enrollment IDI20230919003407, I20251003000672

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

481 services268 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

152 services150 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

140 services130 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

130 services103 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

62 services61 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

53 services53 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

41 services41 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

40 services40 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

36 services35 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

34 services34 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

28 services24 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

27 services24 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

24 services24 patients

Mri scan of brain without contrast 70551

23 services20 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

22 services21 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

21 services21 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

19 services18 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

17 services17 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

17 services17 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

17 services17 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

13 services12 patients

Mri scan of brain before and after contrast 70553

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID

OwnershipProprietary

CMS Certification Number130066

Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Shoshone Medical Center

Critical Access Hospitals · Kellogg, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131314

Location25 Jacobs Gulch RoadKellogg, ID 83837 · Shoshone County

Emergency services

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID

OwnershipGovernment - Local

CMS Certification Number131317

Location229 South 7th StreetSt Maries, ID 83861 · Benewah County

Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131328

Location520 North Third AvenueSandpoint, ID 83864 · Bonner County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY ASSOCIATES OF NORTH IDAHO, PA

Clinic/Center (Radiology)