Jason Glen Funderburk, MD
NPI 1104883966ActiveIndividual· Radiology, Vascular & Interventional Radiology· Knoxville, TN
Radiology, Vascular & Interventional Radiology (MD) in Knoxville, Tennessee, trained at Louisiana State University School of Medicine in New Orleans (class of 1999). Medicare paid $1,195 for services to 16 patients in 2024. Teleflex LLC reported $17.11 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1104883966 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 27, 2006 |
| Last updated in NPPES | Apr 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 47153 | TN |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | ME 93065 | FL |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 4301102162 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Interventional Radiology (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 28 across 13 procedure codes |
| Paid by Medicare | $1,195 |
Education and affiliations
| Medical school | Louisiana State University School of Medicine in New Orleans |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Interventional Radiology |
Medical group
- Great Falls Clinic LLCGreat Falls, MT · 72 clinicians
Hospital affiliation
- Great Falls Clinic HospitalGreat Falls, MT
Industry payments (Open Payments)
- 2025$17.11 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teleflex LLC | $17.11 | 1 |
What the 2025 payments were for
- Food and Beverage$17.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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