DR. MARK K JORDAN (M.D.) – Cardiovascular Disease Physician, NPI 1922002252

DR. MARK K JORDAN (M.D.) is a healthcare provider. based in Edgewood, Kentucky. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 01071044A (IN). The NPI Number for DR. MARK K JORDAN (M.D.) is 1922002252

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK K JORDAN (M.D.)
NPI
1922002252
Phone
(859) 287-3045
Address
711 MEDICAL VILLAGE DR
Enumeration Date
23 May 2005
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8593313353
Graduation Year
1997 (29 years ago)
PAC ID
6800870957
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20040616000153
Address ID
KY410173439ED711XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:21State licenses:2Digital endpointsOther names

490 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY

Provider Addresses for DR. MARK K JORDAN (M.D.)

  • 711 MEDICAL VILLAGE DR

    EDGEWOOD, KY 41017

    Phone: (859) 287-3045

    Fax: (859) 578-3800

    Type: Location

  • PO BOX 636324

    CINCINNATI, OH 452636324

    Phone: (859) 287-3045

    Fax: (859) 578-3800

    Type: Mailing

  • Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States of America

    EDGEWOOD, KY 41017

    Phone: (859) 331-0774

    Fax: (859) 578-3800

    Type: Location

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States of America

    CINCINNATI, OH 452635283

    Phone: (859) 287-3045

    Fax: (859) 578-3800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,744.

Total Amount is formed as General ($1,744) + Research ($0) + Ownership ($0) = $1,744.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($1,055).

Total Amount

$1,744

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,744

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2012-06-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040616000153ICardiovascular Disease (Cardiology)KYTBD
I20120606000583ICardiovascular Disease (Cardiology)INTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only704604$0
99214Established patient office or other outpatient visit, 30-39 minutes647390$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes289164$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function213212$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes126123$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

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Frequently asked questions

What is the standard ID for DR. MARK K JORDAN (M.D.) in the U.S.?
In the U.S., DR. MARK K JORDAN (M.D.) is identified by NPI 1922002252.
Does the public listing show DR. MARK K JORDAN (M.D.) as active?
DR. MARK K JORDAN (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. MARK K JORDAN (M.D.)'s specialty?
The extract shows Cardiovascular Disease Physician for DR. MARK K JORDAN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARK K JORDAN (M.D.)?
The directory associates DR. MARK K JORDAN (M.D.) with Edgewood, Kentucky. Check all listed addresses for suites or satellite offices.
Who maintains DR. MARK K JORDAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.