JARED JOHN THOMSEN (MD) – Diagnostic Radiology Physician, NPI 1518596501
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 DIAGNOSTIC RADIOLOGY in UT
Provider Addresses for JARED JOHN THOMSEN (MD)
106 S 37TH ST APT 2
OMAHA, NE 681312476
Phone: (402) 332-7210
Type: Mailing
5169 S COTTONWOOD ST
MURRAY, UT 841076767
Phone: (800) 548-6672
Type: Location
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 418-0990
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250610001689 | I | Diagnostic Radiology | OR | TBD |
| I20251113000175 | I | Diagnostic Radiology | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology, Interventional Radiology | NE | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NV | |
| Diagnostic Radiology | NE |
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