JORDAN GOODMAN (MD) – Family Medicine Physician, NPI 1538244389
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JORDAN GOODMAN (MD)
692 N. Maple
Herscher, IL 60941
Phone: (815) 426-2020
Type: Location
455 W Court St Ste 400
Kankakee, IL 609013695
Phone: (815) 937-8744
Fax: (815) 937-3528
Type: Location
Remington Boulevard, Bolingbrook, Will County, Illinois, 60544, United States
BOLINGBROOK, IL 604404707
Phone:
Fax: (630) 914-2469
Type: Mailing
656, North Convent Street, Bourbonnais, Kankakee County, Illinois, 60914, United States
BOURBONNAIS, IL 609141393
Phone: (815) 936-5186
Fax: (815) 936-5190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $425.
Total Amount is formed as General ($425) + Research ($0) + Ownership ($0) = $425.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Novo Nordisk Inc ($268).
Total Amount
$425
General + Research + Ownership
Payments
21
Total payment records
General Amount
$425
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $268 |
| AstraZeneca Pharmaceuticals LP | $90 |
| ABBVIE INC. | $66 |
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: 2004-11-11
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 |
|---|---|---|---|---|
| I20041111000091 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 201 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 96 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 87 | 87 | $0 |
| 83036 | Hemoglobin a1c level | 64 | 46 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 60941)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| Nurse Practitioner | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| General Surgery | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.