MS. TIFFANY B JORDAN (PA-C) – Physician Assistant, NPI 1407072341
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MS. TIFFANY B JORDAN (PA-C)
23471 WALDEN CENTER DRIVE
SUITE 300
BONITA SPRINGS, FL 341345016
Phone: (239) 596-9337
Fax: (239) 596-9466
Type: Mailing
2235 VENETIAN COURT
SUITE 1
NAPLES, FL 341098728
Phone: (239) 596-9337
Fax: (239) 596-9466
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $389.
Total Amount is formed as General ($389) + Research ($0) + Ownership ($0) = $389.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GENZYME CORPORATION ($124).
Total Amount
$389
General + Research + Ownership
Payments
17
Total payment records
General Amount
$389
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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: 2011-09-23
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 |
|---|---|---|---|---|
| I20110923000223 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,357 | 443 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 743 | 609 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 706 | 596 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 535 | 472 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 341 | 280 | $0 |
Insurance plans in this area (ZIP 34134)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | NC | |
| D E R M A T O L O G Y | PR | |
| P A T H O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Micrographic Dermatologic Surgery (Mds) | NY | |
| - | FL | |
| - | FL | |
| Micrographic Dermatologic Surgery (Mds) | FL | |
| Otolaryngology, Plastic And Reconstructive Surgery | FL |
Reviews
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