JONATHAN JO (MD) – Vascular & Interventional Radiology Physician, NPI 1225418361
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
144 INTERVENTIONAL RADIOLOGY in CT
Provider Addresses for JONATHAN JO (MD)
445 HARLOW RD STE 200
SPRINGFIELD, OR 974771341
Phone:
Type: Mailing
2900 MAIN ST APT 332
BRIDGEPORT, CT 066064210
Phone:
Type: Mailing
2800 MAIN ST
BRIDGEPORT, CT 066064201
Phone: (203) 576-5576
Type: Location
10 Coburg Rd Ste 300
Eugene, OR 974017481
Phone: (541) 681-8595
Type: Location
700 Lincoln St Ste 100
Kelso, WA 986261062
Phone: (360) 425-5131
Fax: (360) 425-5509
Type: Location
910 S Scheuber Rd
Centralia, WA 985319027
Phone: (360) 736-0200
Fax: (360) 736-0380
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $607.
Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Boston Scientific Corporation ($316).
Total Amount
$607
General + Research + Ownership
Payments
7
Total payment records
General Amount
$607
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $316 |
| Shockwave Medical, Inc | $119 |
| Inari Medical, Inc. | $113 |
| Ethicon US, LLC | $60 |
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: 2024-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210927002693 | I | Diagnostic Radiology | OR | TBD |
| I20240523001167 | I | Interventional Radiology | ID | TBD |
| I20240729004091 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,479 | 119 | $0 |
| 71045 | X-ray of chest, 1 view | 695 | 637 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 408 | 340 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 364 | 220 | $0 |
| 70450 | Ct scan head or brain without contrast | 358 | 328 | $0 |
Insurance plans in this area (ZIP 97477)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OR | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OR |
Reviews
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