JACOB R HODGE M.D. NPI 1811158256

NPI Information

  • NPI: 1811158256
  • Provider Name: JACOB R HODGE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3181 SW SAM JACKSON PARK RD
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 418-0990

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NPI Details

Jacob R Hodge, M.D. is a diagnostic radiology radiology in Portland, OR with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jacob R Hodge, M.D. NPI is 1811158256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2008

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 418-0990

The NPI 1811158256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml (HCPCS:Q9965)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 1 view (HCPCS:73501)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of foot, 2 views (HCPCS:73620)
  • X-ray of ankle, 2 views (HCPCS:73600)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of leg before and after contrast (HCPCS:73720)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of toe, minimum of 2 views (HCPCS:73660)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • X-ray of hand, 2 views (HCPCS:73120)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of sacrum and tailbone, minimum of 2 views (HCPCS:72220)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Ct scan of arm without contrast (HCPCS:73200)

The enumeration date for this NPI number is 6/18/2008 and was last updated on 1/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology104519MINNESOTANo
22085R0202XRadiologyDiagnostic Radiology52240MINNESOTANo
32085R0202XRadiologyDiagnostic RadiologyMD218008OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ENROLLEDMEDICAIDWISCONSIN
2ENROLLEDMEDICAIDIOWA
3ENROLLEDMEDICAIDMINNESOTA
4P01235327OTHERMINNESOTARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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