JASON MICHAEL POLDER (M.D.) – Vascular & Interventional Radiology Physician, NPI 1144751470

JASON MICHAEL POLDER (M.D.) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 219503 (OR). The NPI Number for JASON MICHAEL POLDER (M.D.) is 1144751470

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JASON MICHAEL POLDER (M.D.)
NPI
1144751470
Phone
Not provided
Address
3600 FORBES AVE
Enumeration Date
27 March 2017
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5032168400
Graduation Year
2017 (9 years ago)
PAC ID
6709156995
Group Practice PAC ID
3173670411
Professional Enrollment ID
I20240902000059
Address ID
OR972247259TI18040RDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

373 INTERVENTIONAL RADIOLOGY in PA

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Provider Addresses for JASON MICHAEL POLDER (M.D.)

  • Forbes Tower, 3600, Forbes Avenue, Oakland, Central Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    FORBES TOWER - PLAZA LEVEL SUITE 140

    PITTSBURGH, PA 15213

    Phone:

    Type: Mailing

  • Lothrop Street, West Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    PITTSBURGH, PA 15213

    Phone: (614) 234-5000

    Fax: (614) 234-3749

    Type: Location

  • 9205 SW BARNES RD STE 150

    PORTLAND, OR 972256603

    Phone: (503) 216-4830

    Fax: (503) 216-4850

    Type: Location

  • PO BOX 25180

    PORTLAND, OR 972980180

    Phone: (503) 797-6356

    Type: Mailing

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 $466.

Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Inari Medical, Inc. ($261).

Total Amount

$466

General + Research + Ownership

Payments

7

Total payment records

General Amount

$466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230713001109IDiagnostic RadiologyDCTBD
I20230731002569IDiagnostic RadiologyVATBD
I20240902000059IInterventional RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml1,59516$0
71045X-ray of chest, 1 view189177$0
70450Ct scan head or brain without contrast8683$0
74177Ct scan of abdomen and pelvis with contrast4948$0
71046X-ray of chest, 2 views4444$0
View full utilization report →

Insurance plans in this area (ZIP 15213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173670411View full group profile
NameSpecialtyState
-OR
Diagnostic RadiologyOR
Diagnostic RadiologyTN
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyMO
Diagnostic RadiologyOR
Diagnostic RadiologyOR
-OR
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Does JASON MICHAEL POLDER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JASON MICHAEL POLDER (M.D.) uses 1144751470.
Is JASON MICHAEL POLDER (M.D.) listed as active for patients and plans?
The listing shows JASON MICHAEL POLDER (M.D.) as active in the NPI system.
What is JASON MICHAEL POLDER (M.D.)'s primary classification?
Vascular & Interventional Radiology Physician is the headline specialty for JASON MICHAEL POLDER (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JASON MICHAEL POLDER (M.D.)?
JASON MICHAEL POLDER (M.D.)'s geographic hint is Pittsburgh, Pennsylvania in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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