JORDAN KENNETH MARSHALL (MD) – Emergency Medicine Physician, NPI 1396188025
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
73 GENERAL PRACTICE in CO
Provider Addresses for JORDAN KENNETH MARSHALL (MD)
275 S Aspen St Stop 89
Buckley AFB, CO 800119562
Phone: (720) 847-6486
Fax: (720) 847-6197
Type: Location
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 800119562
Phone: (720) 847-6486
Fax: (720) 847-6197
Type: Mailing
7383 HAZEL AVE
MAPLEWOOD, MO 631433223
Phone: (907) 482-3613
Type: Mailing
2001 STATE ST
EAST SAINT LOUIS, IL 622051803
Phone: (618) 271-0204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220711002792 | I | General Practice | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 147 | 143 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 89 | 89 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 47 | 46 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 80011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine, Internal Medicine | MO | |
| - | MO |
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