DR. JORDAN TEITELBAUM (D.O.) – Otolaryngology Physician, NPI 1518374784
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DR. JORDAN TEITELBAUM (D.O.)
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 600688429
Phone: (847) 674-5585
Type: Mailing
8780 W GOLF RD STE 200
NILES, IL 607145611
Phone: (847) 674-5585
Fax: (847) 824-1698
Type: Mailing
8780 W Golf Rd Ste 200
Niles, IL 607145611
Phone: (847) 674-5585
Fax: (847) 824-1698
Type: Location
5100 W Broad St
Columbus, OH 432281607
Phone: (614) 544-2090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,837.
Total Amount is formed as General ($1,837) + Research ($0) + Ownership ($0) = $1,837.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Medtronic, Inc. ($1,428).
Total Amount
$1,837
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,428 |
| Integra LifeSciences Corporation | $265 |
| Stryker Corporation | $144 |
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: 2020-08-20
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 |
|---|---|---|---|---|
| I20200820001301 | I | Otolaryngology | IL | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 398 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 353 | 258 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 245 | 216 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 180 | 180 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 149 | 129 | $0 |
Insurance plans in this area (ZIP 60068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | WA | |
| Nurse Practitioner | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL |
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