JORDAN GLICKSMAN (MD) – Otolaryngology Physician, NPI 1124479282

JORDAN GLICKSMAN (MD) is a healthcare provider. based in Danvers, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 270202 (MA). The NPI Number for JORDAN GLICKSMAN (MD) is 1124479282

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN GLICKSMAN (MD)
NPI
1124479282
Phone
(978) 745-6601
Address
104 ENDICOTT ST STE 100
Enumeration Date
29 June 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175237900
Graduation Year
2010 (16 years ago)
PAC ID
4183917982
Group Practice PAC ID
4486540275
Professional Enrollment ID
I20170725000786
Address ID
MA021143002BO243XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

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Provider Addresses for JORDAN GLICKSMAN (MD)

  • Osram Sylvania Inc, 100, Endicott Street, Danvers, Essex County, Massachusetts, 01923, United States

    DANVERS, MA 019233623

    Phone: (978) 745-6601

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Acclarent, Inc ($138).

Total Amount

$236

General + Research + Ownership

Payments

2

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2017-07-25

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
I20160801000389IOtolaryngologyPATBD
I20170725000786IOtolaryngologyMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes262214$0
99204New patient office or other outpatient visit, 45-59 minutes168168$0
31231Diagnostic exam of nasal passages using an endoscope129105$0
69210Removal of impacted ear wax124116$0
99214Established patient office or other outpatient visit, 30-39 minutes122109$0
View full utilization report →

Insurance plans in this area (ZIP 01923)

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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: 4486540275View full group profile
NameSpecialtyState
-MA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
-OH
N E U R O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
N E U R O L O G YMA
-MA
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JORDAN GLICKSMAN (MD)?
JORDAN GLICKSMAN (MD) — NPI 1124479282 — is the standard way to identify this listing.
Does the file indicate JORDAN GLICKSMAN (MD) is practicing under active NPI?
Directory data currently reports JORDAN GLICKSMAN (MD) as active.
What is JORDAN GLICKSMAN (MD) best known for clinically?
Directory data describes JORDAN GLICKSMAN (MD) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What area does JORDAN GLICKSMAN (MD) serve?
JORDAN GLICKSMAN (MD)'s listing highlights Danvers, Massachusetts; more addresses can appear in NPPES.
Is the information about JORDAN GLICKSMAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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