JORDAN THOMPSON (M.D.) – Dermatology Physician, NPI 1073049920

JORDAN THOMPSON (M.D.) is a healthcare provider. based in Norwood, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 96159 (GA). The NPI Number for JORDAN THOMPSON (M.D.) is 1073049920

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN THOMPSON (M.D.)
NPI
1073049920
Phone
(781) 230-6154
Address
128 CARNEGIE ROW STE 202
Enumeration Date
11 May 2017
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
7704225557
Graduation Year
2017 (9 years ago)
PAC ID
3476808700
Group Practice PAC ID
6800885757
Professional Enrollment ID
I20230815000099
Address ID
GA300601008MA835XXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for JORDAN THOMPSON (M.D.)

  • 128 CARNEGIE ROW STE 202

    NORWOOD, MA 020625162

    Phone: (781) 230-6154

    Type: Mailing

  • 1111 Amsterdam Ave

    Department of Medicine, Mt. Sinai St Lukes-Roosevelt

    New York, NY 100251716

    Phone: (212) 523-7321

    Type: Location

  • Mount Sinai St. Luke's, 1111, Amsterdam Avenue, Morningside Heights, Manhattan Community Board 9, Manhattan, New York County, New York, 10029, United States

    DEPARTMENT OF MEDICINE, MT. SINAI ST LUKES-ROOSEVELT

    NEW YORK, NY 100251716

    Phone: (212) 523-7321

    Type: Mailing

  • 835 COGBURN AVENUE

    SUITE 250

    MARIETTA, GA 300601010

    Phone: (770) 422-8815

    Fax: (770) 422-8816

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,319.

Total Amount is formed as General ($1,319) + Research ($0) + Ownership ($0) = $1,319.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($232).

Total Amount

$1,319

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-08-15

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
I20210727000568IDermatologyMATBD
I20230815000099IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths31574$0
99213Established patient office or other outpatient visit, 20-29 minutes230191$0
11102Biopsy of related skin growth, first growth155140$0
17000Destruction of precancer skin growth, 1 growth132113$0
99214Established patient office or other outpatient visit, 30-39 minutes9175$0
View full utilization report →

Insurance plans in this area (ZIP 02062)

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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: 6800885757View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YAL
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YFL
Micrographic Dermatologic Surgery (Mds), DermatologyGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What identifier follows JORDAN THOMPSON (M.D.) across health systems?
The NPI 1073049920 uniquely identifies JORDAN THOMPSON (M.D.) in U.S. healthcare data.
Is JORDAN THOMPSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists JORDAN THOMPSON (M.D.) as active.
How should patients interpret JORDAN THOMPSON (M.D.)'s specialty?
The extract shows Dermatology Physician for JORDAN THOMPSON (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit JORDAN THOMPSON (M.D.) in Norwood, Massachusetts?
For routing, start with Norwood, Massachusetts for JORDAN THOMPSON (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.