DR. PAUL JORDAN HANNON (MD) – Orthopaedic Surgery Physician, NPI 1316408172

DR. PAUL JORDAN HANNON (MD) is a healthcare provider. based in Tampa, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 18336A (WY). The NPI Number for DR. PAUL JORDAN HANNON (MD) is 1316408172

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL JORDAN HANNON (MD)
NPI
1316408172
Phone
Not provided
Address
17 DAVIS BLVD STE 308
Enumeration Date
26 March 2019
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3072657205
Graduation Year
2019 (7 years ago)
PAC ID
9032656046
Group Practice PAC ID
9436148624
Professional Enrollment ID
I20250428001308
Address ID
WY826093265CA4140XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for DR. PAUL JORDAN HANNON (MD)

  • Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063438

    Phone:

    Type: Mailing

  • 4140 CENTENNIAL HILLS BLVD STE A

    CASPER, WY 826093265

    Phone: (307) 265-7205

    Fax: (307) 235-6262

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,832.

Total Amount is formed as General ($1,832) + Research ($0) + Ownership ($0) = $1,832.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Stryker Corporation ($689).

Total Amount

$1,832

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,832

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2025-04-28

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
I20250428001308IOrthopedic SurgeryWYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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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: 9436148624View full group profile
NameSpecialtyState
Orthopedic SurgeryAZ
-SC
Orthopedic SurgeryWY
Occupational Therapist In Private PracticeWY
Orthopedic SurgeryTX
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY

Reviews

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Frequently asked questions

What is the standard ID for DR. PAUL JORDAN HANNON (MD) in the U.S.?
In the U.S., DR. PAUL JORDAN HANNON (MD) is identified by NPI 1316408172.
Does the public listing show DR. PAUL JORDAN HANNON (MD) as active?
DR. PAUL JORDAN HANNON (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. PAUL JORDAN HANNON (MD)'s listing?
DR. PAUL JORDAN HANNON (MD)'s public classification highlights Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. PAUL JORDAN HANNON (MD)?
DR. PAUL JORDAN HANNON (MD) is associated with Tampa, Florida in the same public data insurers reference.
Who maintains DR. PAUL JORDAN HANNON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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