Jed Russell Peterson, M.D.
NPI 1164634770ActiveIndividual· Radiology, Vascular & Interventional Radiology· Portland, OR
Radiology, Vascular & Interventional Radiology (M.D.) in Portland, Oregon, trained at Albany Medical College of Union University (class of 2006). Mostly services rather than prescriptions: Medicare paid $30,387 for 673 patients in 2024, with only 28 Part D claims. Angiodynamics, Inc. was the largest of 14 companies reporting payments in 2025, $9,172 in all, mostly travel and lodging.
Overview
| NPI | 1164634770 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 4, 2007 |
| Last updated in NPPES | Oct 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | 157199 | OR |
| Radiology, Diagnostic Radiology | 2085R0202X | MD.60212410 | WA |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD.60212410 | WA |
| Radiology, Diagnostic Radiology | 2085R0202X | 157199 | OR |
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 - Diagnostic Radiology (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 673 |
|---|---|
| Services billed | 1,041 across 154 procedure codes |
| Paid by Medicare | $30,387 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 34 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $502.97 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Albany Medical College of Union University |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Portland Adventist Medical CenterPortland, OR · 271 clinicians
- Providence St Joseph Medical CenterPolson, MT · 53 clinicians
- Diagnostic Radiologists PCOregon City, OR · 17 clinicians
Hospital affiliations
- Adventist Health PortlandPortland, OR
- Mid-Columbia Medical CenterThe Dalles, OR
- Ohsu Hospital and ClinicsPortland, OR
Industry payments (Open Payments)
- 2025$9,172 · 85 payments from 14 companies
- 2024$3,158 · 51 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Angiodynamics, Inc. | $2,664 | 6 |
| Penumbra, Inc. | $2,594 | 26 |
| Terumo Medical Corporation | $2,185 | 15 |
| Stryker Corporation | $506.68 | 11 |
| Medtronic, Inc. | $442.11 | 12 |
What the 2025 payments were for
- Travel and Lodging$4,304 · 13 payments
- Food and Beverage$3,968 · 70 payments
- Consulting Fee$900.00 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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