JORDAN WILLIS – Orthopaedic Surgery Physician, NPI 1982197364
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
324 ORTHOPEDIC SURGERY in KS
Provider Addresses for JORDAN WILLIS
1201 W 12TH AVE
EMPORIA, KS 668012504
Phone: (620) 343-6800
Fax: (620) 341-7821
Type: Mailing
1301 W 12TH AVE STE 105
EMPORIA, KS 66801
Phone: (620) 340-6181
Fax: (620) 342-6182
Type: Location
1010 N Kansas St
Wichita, KS 672143124
Phone: (316) 268-5988
Type: Location
1201 W 12th Ave
Emporia, KS 66801
Phone: (620) 343-6800
Fax: (620) 341-7821
Type: Location
6265 Rock Chalk Dr Ste 1500
Lawrence, KS 660495232
Phone: (785) 843-9125
Fax: (785) 505-5312
Type: Location
University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States
WICHITA, KS 672143124
Phone: (316) 268-5988
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $42,390.
Total Amount is formed as General ($42,390) + Research ($0) + Ownership ($0) = $42,390.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Arthrex, Inc. ($20,000).
Total Amount
$42,390
General + Research + Ownership
Payments
39
Total payment records
General Amount
$42,390
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 |
|---|---|
| Arthrex, Inc. | $20,000 |
| Smith+Nephew, Inc. | $19,094 |
| Stryker Corporation | $2,744 |
| DePuy Synthes Sales Inc. | $365 |
| Skeletal Dynamics Inc | $102 |
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: 2024-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230622002529 | I | Orthopedic Surgery | MS | TBD |
| I20240723003566 | I | Orthopedic Surgery | KS | 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 |
|---|---|---|---|---|
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 19 | 19 | $0 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 18 | 18 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 18 | 18 | $0 |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 66801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Hospitalist, Family Practice | KS | |
| General Surgery | KS | |
| - | KS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Nurse Practitioner | KS | |
| General Surgery | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS |
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