Jacob R Hodge, MD - Medicare Diagnostic Radiology in Portland, OR

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Jacob R Hodge, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. He went to University Of Minnesota Medical School and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Altru Health System, Tria Orthopaedic Center Llc, Fairview Express Care, Midwest Radiology Pa, Allina Health System, Suburban Imaging Llc, Pembina County Memorial Hospital Association, Midwest Radiology Pa, Allina Health System, St. Croix Regional Medical Center, St. Joseph's Hospital And Health Center, Oregon Health And Sciences University/university Medical Group and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 418-0990.

Jacob R Hodge is licensed to practice in Oregon (license number MD218008) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811158256.

Contact Information

Jacob R Hodge, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 418-0990
Not Available

Map and Direction




Physician's Profile

Full NameJacob R Hodge
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob R Hodge attended and graduated from University Of Minnesota Medical School in 2008
  NPI Data:
  • NPI Number: 1811158256
  • Provider Enumeration Date: 06/18/2008
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072668193
  • Enrollment ID: I20090825000751

Medical Identifiers

Medical identifiers for Jacob R Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811158256NPI-NPPES
ENROLLEDMedicaidWI
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN
P01235327OtherMNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 104519 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology 52240 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology MD218008 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital
Fairview Southdale HospitalEdina, MNHospital
Mercy HospitalCoon rapids, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Fairview Ridges HospitalBurnsville, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Altru Health System1355251604531
Tria Orthopaedic Center Llc3173570561367
Fairview Express Care33756451791523
Midwest Radiology Pa4486568482197
Allina Health System45875736133071
Suburban Imaging Llc4688564867110
Pembina County Memorial Hospital Association478964371995
Midwest Radiology Pa4486568482197
Allina Health System45875736133071
St. Croix Regional Medical Center9335032184164
St. Joseph's Hospital And Health Center054717756076
Oregon Health And Sciences University/university Medical Group48807601071485

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob R Hodge allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameMidwest Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952307175
PECOS PAC ID: 4486568482
Enrollment ID: O20031114000105
Entity NameMidwest Radiology Outpatient Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720059264
PECOS PAC ID: 3870495591
Enrollment ID: O20040123000119
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameSuburban Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427008937
PECOS PAC ID: 4688564867
Enrollment ID: O20040319000599
Entity NameLac Qui Parle Clinic Of Madison, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144266156
PECOS PAC ID: 5799727707
Enrollment ID: O20050531000484
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameTria Orthopaedic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518273085
PECOS PAC ID: 3173570561
Enrollment ID: O20110310000999
Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20110929000165
Entity NameAltru Health System
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1043309552
PECOS PAC ID: 1355251604
Enrollment ID: O20111020000173
Entity NamePembina County Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417093949
PECOS PAC ID: 4789643719
Enrollment ID: O20120921000536
Entity NameTowner County Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124041389
PECOS PAC ID: 6800798497
Enrollment ID: O20160111001169
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524
Entity NameCarris Health - Redwood Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265914048
PECOS PAC ID: 7911259619
Enrollment ID: O20181129001082

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob R Hodge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob R Hodge, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-0990		Jacob R Hodge, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 418-0990

Reviews and Comments


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Gregory Hall, MD
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Phone: 503-216-4830    Fax: 503-216-4850
D. Bradley Koslin, MD
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Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-0990    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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