JORDAN THOMPSON (M.D.) – Dermatology Physician, NPI 1073049920
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $232 |
| E.R. Squibb & Sons, L.L.C. | $209 |
| Incyte Corporation | $148 |
| Medtronic, Inc. | $132 |
| Sun Pharmaceutical Industries Inc. | $82 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210727000568 | I | Dermatology | MA | TBD |
| I20230815000099 | I | Dermatology | GA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 315 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 230 | 191 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 155 | 140 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 132 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 75 | $0 |
Insurance plans in this area (ZIP 02062)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | LA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| D E R M A T O L O G Y | FL | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | GA | |
| D E R M A T O L O G Y | GA |
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