STEPHANIE NICOLE JANKOVIC (MD) – Vascular & Interventional Radiology Physician, NPI 1902367162
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for STEPHANIE NICOLE JANKOVIC (MD)
10123 SE MARKET ST
ADVENTIST HEALTH PORTLAND - DIAGNOSTIC RADIOLOGISTS, PC
PORTLAND, OR 972162532
Phone:
Type: Mailing
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972393098
Phone: (503) 494-8211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $419.
Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Boston Scientific Corporation ($255).
Total Amount
$419
General + Research + Ownership
Payments
4
Total payment records
General Amount
$419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $255 |
| Inari Medical, Inc. | $103 |
| Medtronic, Inc. | $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: 2025-10-29
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 |
|---|---|---|---|---|
| I20251029001878 | I | Diagnostic Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| - | OR | |
| Interventional Radiology, Diagnostic Radiology | OR | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | VA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | OR | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | MO |
Reviews
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