JASON ROLAND WOLLMUTH (M.D.) – Interventional Cardiology Physician, NPI 1164498499
Interventional Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
87 INTERVENTIONAL CARDIOLOGY in OR
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Provider Addresses for JASON ROLAND WOLLMUTH (M.D.)
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
201, Northeast 99th Avenue, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97220, United States
PORTLAND, OR 972209442
Phone: (503) 962-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 276 Open Payments records for all available years, with a total value of $254,961.
Total Amount is formed as General ($254,961) + Research ($0) + Ownership ($0) = $254,961.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($124,841).
Total Amount
$254,961
General + Research + Ownership
Payments
276
Total payment records
General Amount
$254,961
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $124,841 |
| ABIOMED | $107,618 |
| Boston Scientific Corporation | $20,492 |
| Shockwave Medical, Inc | $578 |
| Merit Medical Systems Inc | $350 |
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: 2006-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060530000217 | I | Interventional Cardiology | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 95 | 91 | $0 |
| 92928 | Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch | 78 | 55 | $0 |
| 92978 | Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 76 | 75 | $0 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 64 | 63 | $0 |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 44 | 44 | $0 |
Insurance plans in this area (ZIP 97208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | OR | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 58 | 47 |
| INTERVENTIONAL CARDIOLOGY | OR | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 56 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Physical Medicine And Rehabilitation | WA | |
| - | OR | |
| Cardiovascular Disease (Cardiology) | OR |
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