DR. BRENT JORDAN (MD) – Diagnostic Radiology Physician, NPI 1194107839
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. BRENT JORDAN (MD)
4250 Hospital Dr
Marianna, FL 324461917
Phone: (850) 718-2531
Type: Location
3131 S Main St
Moultrie, GA 317686925
Phone: (229) 890-3500
Type: Location
2525 S MICHIGAN AVE
CHICAGO, IL 606162315
Phone: (312) 296-4589
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: 2025-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20200909002712 | I | Diagnostic Radiology | GA | TBD |
| I20220802001973 | I | Diagnostic Radiology | AL | TBD |
| I20231214003360 | I | Diagnostic Radiology | IL | TBD |
| I20250117002635 | I | Diagnostic Radiology | FL | TBD |
| I20250311003973 | I | Diagnostic Radiology | TX | TBD |
| I20250612000026 | I | Diagnostic Radiology | NC | TBD |
| I20251126003746 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 20 | 20 | $0 |
| 71045 | X-ray of chest, 1 view | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Diagnostic Radiology | IL | |
| Family Practice | IL | |
| - | IL |
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