DR. JORDAN WILLIAM PONTIUS (DC, ATC) – Chiropractor, NPI 1508365115

DR. JORDAN WILLIAM PONTIUS (DC, ATC) is a healthcare provider. based in Freeport, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials DC, ATC. They hold a License No. 038.013188 (IL). The NPI Number for DR. JORDAN WILLIAM PONTIUS (DC, ATC) is 1508365115

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN WILLIAM PONTIUS (DC, ATC)
NPI
1508365115
Phone
(815) 990-5394
Address
627 N GREENFIELD DR
Enumeration Date
9 February 2018
Last Update Date
31 October 2019

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
8152357858
Graduation Year
2019 (7 years ago)
PAC ID
5395077499
Group Practice PAC ID
1557324415
Professional Enrollment ID
I20191022003059
Address ID
IL610324536FR630XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. JORDAN WILLIAM PONTIUS (DC, ATC)

  • 627, North Greenfield Drive, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610322914

    Phone: (815) 990-5394

    Fax: (815) 235-7913

    Type: Mailing

  • 630, Terra West Drive, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 61032

    Phone: (815) 235-7858

    Fax: (815) 235-7913

    Type: Location

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: 2019-10-22

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
I20191022003059IChiropracticILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions31521$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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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: 1557324415View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What is DR. JORDAN WILLIAM PONTIUS (DC, ATC)'s NPI number?
DR. JORDAN WILLIAM PONTIUS (DC, ATC)'s NPI is 1508365115 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. JORDAN WILLIAM PONTIUS (DC, ATC)?
For scheduling context, DR. JORDAN WILLIAM PONTIUS (DC, ATC) is shown as active in the registry.
What clinical focus is listed for DR. JORDAN WILLIAM PONTIUS (DC, ATC)?
At a glance, DR. JORDAN WILLIAM PONTIUS (DC, ATC) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. JORDAN WILLIAM PONTIUS (DC, ATC) located near Freeport?
DR. JORDAN WILLIAM PONTIUS (DC, ATC) currently maps to Freeport, Illinois in this extract.
Can I trust this NPI listing for DR. JORDAN WILLIAM PONTIUS (DC, ATC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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