MRS. SAMANTHA M JORDAN (P.A-C, MMS) – Physician Assistant, NPI 1982702239
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MRS. SAMANTHA M JORDAN (P.A-C, MMS)
Scarborough Drive, Fairfax, Colorado Springs, El Paso County, Colorado, 80923, United States
SUITE 225
COLORADO SPRINGS, CO 809207583
Phone: (719) 531-5400
Fax: (719) 531-9545
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($45).
Total Amount
$120
General + Research + Ownership
Payments
5
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-12-15
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 |
|---|---|---|---|---|
| I20141215000227 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 992 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 615 | 349 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 399 | 263 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 194 | 148 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 184 | 161 | $0 |
Insurance plans in this area (ZIP 80920)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | CO | |
| Physician Assistant | TX | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | TX |
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