JORDAN GREGORY KUPPINGER (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1124060496
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JORDAN GREGORY KUPPINGER (MD)
7955 Spyglass Hill Rd Ste A
Melbourne, FL 329408249
Phone: (321) 751-3389
Fax: (321) 242-2545
Type: Location
8701 N US Highway 1
Sebastian, FL 329587524
Phone: (321) 751-3389
Fax: (321) 242-2545
Type: Location
836 Century Medical Dr
Titusville, FL 327962141
Phone: (321) 751-3389
Fax: (321) 242-2545
Type: Location
West Sample Road, Coral Springs, Broward County, Florida, 33064, United States
CORAL SPRINGS, FL 330673173
Phone: (954) 481-9942
Fax: (954) 481-9917
Type: Mailing
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: 2005-08-04
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 |
|---|---|---|---|---|
| I20050804000390 | I | Anesthesiology | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32940)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | CO | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 60 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL |
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