JORDAN DANIEL WALTERS (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1720406945
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for JORDAN DANIEL WALTERS (MD)
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 323084470
Phone: (850) 877-8174
Fax: (844) 261-6839
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $9,560.
Total Amount is formed as General ($9,560) + Research ($0) + Ownership ($0) = $9,560.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Cgg Medical Inc ($4,220).
Total Amount
$9,560
General + Research + Ownership
Payments
64
Total payment records
General Amount
$9,560
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cgg Medical Inc | $4,220 |
| Arthrex, Inc. | $2,441 |
| CGG Medical Inc | $2,319 |
| Smith+Nephew, Inc. | $182 |
| Miach Orthopaedics, Inc. | $130 |
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: 2020-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200730001233 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 281 | 65 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 90 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 73 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 71 | 63 | $0 |
Insurance plans in this area (ZIP 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL |
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