JORDAN LUPO HEATH (M.D.) – Allergy Physician, NPI 1114360930

JORDAN LUPO HEATH (M.D.) is a healthcare provider. based in Gainesville, Florida. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. ME149410 (FL). The NPI Number for JORDAN LUPO HEATH (M.D.) is 1114360930

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN LUPO HEATH (M.D.)
NPI
1114360930
Phone
(352) 416-1082
Address
4881 NW 8TH AVE.
Enumeration Date
10 April 2013
Last Update Date
1 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3524161082
Graduation Year
2013 (13 years ago)
PAC ID
1759678535
Group Practice PAC ID
6608137054
Professional Enrollment ID
I20210730000053
Address ID
FL326072817GA4343XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

115 ALLERGY/IMMUNOLOGY in MO

Provider Addresses for JORDAN LUPO HEATH (M.D.)

  • 4881 NW 8TH AVE.

    SUITE 2

    GAINESVILLE, FL 326054582

    Phone: (352) 416-1082

    Fax: (352) 373-6144

    Type: Mailing

  • 1600 E BROADWAY

    COLUMBIA, MO 652015844

    Phone: (573) 815-8000

    Fax: (573) 815-8556

    Type: Mailing

  • 4343 NEWBERRY RD STE 1

    GAINESVILLE, FL 326072822

    Phone: (352) 331-3502

    Fax: (352) 331-3488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $3,064.

Total Amount is formed as General ($3,064) + Research ($0) + Ownership ($0) = $3,064.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($819).

Total Amount

$3,064

General + Research + Ownership

Payments

128

Total payment records

General Amount

$3,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210730000053IAllergy/ImmunologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract2,56542$0
95165Professional service for preparation and provision of 1 or more antigens71024$0
95024Test for allergy using allergenic extract injected into skin53317$0
95117Professional service for multiple injections of allergen42944$0
96372Injection of drug or substance under skin or into muscle17333$0
View full utilization report →

Insurance plans in this area (ZIP 32605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608137054View full group profile
NameSpecialtyState
-FL
Hospitalist, Family PracticeFL
Nurse PractitionerFL
-FL
Hospitalist, Internal MedicineIL
Internal MedicineFL
-FL
-FL
-FL
Allergy/Immunology, Pediatric MedicineFL

Reviews

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Frequently asked questions

Can I verify JORDAN LUPO HEATH (M.D.) with an NPI only?
You can start verification with NPI 1114360930 for JORDAN LUPO HEATH (M.D.), then check state licensing separately.
Does CMS list JORDAN LUPO HEATH (M.D.) as active?
Yes — JORDAN LUPO HEATH (M.D.) is active in the NPI listing used on this page.
What is JORDAN LUPO HEATH (M.D.)'s primary classification?
Allergy Physician is the headline specialty for JORDAN LUPO HEATH (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is JORDAN LUPO HEATH (M.D.) based?
JORDAN LUPO HEATH (M.D.) is tied to Gainesville, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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