CHRISTOPHER JORDAN (MD) – Family Medicine Physician, NPI 1689938664

CHRISTOPHER JORDAN (MD) is a healthcare provider. based in South bend, Indiana. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01072993A (IN). The NPI Number for CHRISTOPHER JORDAN (MD) is 1689938664

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER JORDAN (MD)
NPI
1689938664
Phone
(574) 335-6500
Address
707 E CEDAR ST
Enumeration Date
25 June 2012
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5743355000
Graduation Year
2012 (14 years ago)
PAC ID
7012156060
Group Practice PAC ID
3476451790
Professional Enrollment ID
I20141231000156
Address ID
IN465451469MI5215XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

185 SPORTS MEDICINE in IN

Provider Addresses for CHRISTOPHER JORDAN (MD)

  • 707 E CEDAR ST

    STE 200

    SOUTH BEND, IN 466172057

    Phone: (574) 335-6500

    Fax: (574) 335-0772

    Type: Mailing

  • 707 CEDAR ST STE 405

    SOUTH BEND, IN 466172059

    Phone:

    Type: Mailing

  • 611 E DOUGLAS RD STE 137

    MISHAWAKA, IN 465451464

    Phone: (574) 335-6214

    Fax: (574) 335-6215

    Type: Location

  • 1919 Lake Ave Ste 102B

    Plymouth, IN 465637830

    Phone: (574) 335-6214

    Fax: (574) 335-0772

    Type: Location

  • 611 E Douglas Rd Ste 407

    Mishawaka, IN 465451468

    Phone: (574) 335-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: MY01 Inc. ($33).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

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

View all Open Payments →|Open Payments Risk Radar →

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: 2014-12-31

PECOS data refreshed: 2026-06-15

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
I20141231000156ISports MedicineINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22839$0
99213Established patient office or other outpatient visit, 20-29 minutes10760$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance4531$0
99212Established patient office or other outpatient visit, 10-19 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 3476451790View full group profile
NameSpecialtyState
-IN
Family PracticeIN
Family PracticeIN
Family PracticeIN
Family PracticeIN
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YIN
Family PracticeIN
Pulmonary Disease, Critical Care (Intensivists)IN
Family PracticeIN

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTOPHER JORDAN (MD)?
NPI 1689938664 is assigned to CHRISTOPHER JORDAN (MD) under the national enumeration system.
Does this profile mean CHRISTOPHER JORDAN (MD) is currently active?
Yes — CHRISTOPHER JORDAN (MD) appears active in the national provider directory.
What kind of provider is CHRISTOPHER JORDAN (MD)?
The page reflects Family Medicine Physician for CHRISTOPHER JORDAN (MD). Clinical services aligned with this taxonomy classification.
What location shows for CHRISTOPHER JORDAN (MD)?
We surface South Bend, Indiana for CHRISTOPHER JORDAN (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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