DR. JORDAN L UKENA (OD) – Optometrist, NPI 1013584549

DR. JORDAN L UKENA (OD) is a healthcare provider. based in Ankeny, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 108457 (IA). The NPI Number for DR. JORDAN L UKENA (OD) is 1013584549

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN L UKENA (OD)
NPI
1013584549
Phone
(515) 964-7355
Address
111 NW 9th St
Enumeration Date
3 June 2021
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5159647355
Graduation Year
2021 (5 years ago)
PAC ID
7416358742
Group Practice PAC ID
3476924010
Professional Enrollment ID
I20210624001494
Address ID
IA500231754AN111XXSTXX400

Contacts

Secure Messaging
Jordan.Ukena@direct.revolutionehr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

503 OPTOMETRY in IA

Provider Addresses for DR. JORDAN L UKENA (OD)

  • 111 NW 9th St

    Ankeny, IA 500231754

    Phone: (515) 964-7355

    Fax: (515) 964-8413

    Type: Location

  • 1005 8th St SW

    Altoona, IA 500092310

    Phone: (515) 967-4095

    Fax: (515) 967-0262

    Type: Location

  • 111 NW 9TH ST

    ANKENY, IA 500231754

    Phone: (515) 964-7355

    Fax: (515) 964-8413

    Type: Mailing

  • 5501 NW 8TH STREET

    SUITE 500

    JOHNSTON, IA 50131

    Phone: (515) 270-0494

    Fax: (515) 270-6463

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($106).

Total Amount

$271

General + Research + Ownership

Payments

13

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

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: 2021-06-24

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
I20210624001494IOptometryIATBD

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
92014Established patient complete exam of visual system121121$0
92012Established patient problem focused exam of visual system6852$0
92004New patient complete exam of visual system3636$0
92250Photography of the retina3029$0
92134Imaging of retina2423$0
View full utilization report →

Insurance plans in this area (ZIP 50023)

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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: 3476924010View full group profile
NameSpecialtyState
O P T O M E T R YIA

Reviews

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Frequently asked questions

Is there an official ID for DR. JORDAN L UKENA (OD) in U.S. healthcare records?
The official identifier for DR. JORDAN L UKENA (OD) is NPI 1013584549.
Active or inactive — what applies to DR. JORDAN L UKENA (OD)?
You should see DR. JORDAN L UKENA (OD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. JORDAN L UKENA (OD)?
At a glance, DR. JORDAN L UKENA (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Iowa is DR. JORDAN L UKENA (OD) registered?
Use Ankeny, Iowa as the headline location for DR. JORDAN L UKENA (OD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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