JORDAN CECIL CHILDERS (DO) – Internal Medicine Physician, NPI 1699399121

JORDAN CECIL CHILDERS (DO) is a healthcare provider. based in Beattyville, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 05453 (KY). The NPI Number for JORDAN CECIL CHILDERS (DO) is 1699399121

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN CECIL CHILDERS (DO)
NPI
1699399121
Phone
(606) 548-2610
Address
PO BOX 572
Enumeration Date
1 June 2020
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6065985104
Graduation Year
2022 (4 years ago)
PAC ID
1557736444
Group Practice PAC ID
9133483894
Professional Enrollment ID
I20230406000726
Address ID
KY409626388MA210XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

Provider Addresses for JORDAN CECIL CHILDERS (DO)

  • PO BOX 572

    BEATTYVILLE, KY 413110572

    Phone: (606) 548-2610

    Type: Mailing

  • 81 BALL PARK RD

    HARLAN, KY 408311701

    Phone: (606) 573-8100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-06

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
I20230406000726IInternal MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making111108$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10999$0
99284Emergency department visit with moderate level of medical decision making4242$0
99291Critical care, first 30-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 41311)

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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: 9133483894View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineGA
Family Practice, Geriatric MedicineAA
Nurse PractitionerKY
Emergency Medicine, Internal MedicineTN
Internal MedicineKY
Family Practice, Internal MedicineIN
-IN
-IN
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I cross-check JORDAN CECIL CHILDERS (DO) using NPI 1699399121?
NPI 1699399121 belongs to JORDAN CECIL CHILDERS (DO); compare other details if you need extra assurance.
Active or inactive — what applies to JORDAN CECIL CHILDERS (DO)?
You should see JORDAN CECIL CHILDERS (DO) as active in CMS-hosted NPPES data.
What kind of doctor is JORDAN CECIL CHILDERS (DO)?
JORDAN CECIL CHILDERS (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JORDAN CECIL CHILDERS (DO) located near Beattyville?
JORDAN CECIL CHILDERS (DO) currently maps to Beattyville, Kentucky in this extract.
Does JORDAN CECIL CHILDERS (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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