JORDAN ELIZABETH PARKER (MD) – Dermatology Physician, NPI 1174182026
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for JORDAN ELIZABETH PARKER (MD)
PO BOX 19644
SPRINGFIELD, IL 627949644
Phone: (217) 545-8000
Fax: (217) 545-7438
Type: Mailing
North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627024968
Phone: (217) 545-8000
Fax: (217) 545-7438
Type: Location
2707 W EDGEWOOD DR STE 102
JEFFERSON CITY, MO 651095886
Phone: (573) 761-1830
Fax: (573) 761-1829
Type: Location
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($65).
Total Amount
$129
General + Research + Ownership
Payments
4
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $65 |
| ABBVIE INC. | $39 |
| Regeneron Healthcare Solutions, Inc. | $25 |
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: 2023-08-31
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 |
|---|---|---|---|---|
| I20230831003998 | I | Dermatology | MO | 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 | 153 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 57 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 52 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 45 | $0 |
Insurance plans in this area (ZIP 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| General Surgery | MO | |
| Family Practice | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO |
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