DR. JORDAN MAXWELL (DO) – Surgery Physician, NPI 1356790851
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
729 GENERAL SURGERY in IN
Provider Addresses for DR. JORDAN MAXWELL (DO)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
1701 S CREASY LN
LAFAYETTE, IN 479054972
Phone: (765) 502-4780
Type: Location
19102 BALDWIN CIR
HOLLY, MI 484429526
Phone: (317) 361-3646
Type: Mailing
1710 Lafayette Rd
Crawfordsville, IN 479331033
Phone: (765) 361-3387
Type: Location
Genesys Regional Medical Center, 1, Genesys Parkway, Genesee County, Michigan, 48439, United States
GRAND BLANC, MI 484398065
Phone: (317) 361-3646
Type: Location
2613 DEMMINGS CT
WEST LAFAYETTE, IN 479066633
Phone: (317) 361-3646
Type: Mailing
1771 W BIG BEAVER RD
TROY, MI 480843510
Phone: (248) 617-2454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($94).
Total Amount
$94
General + Research + Ownership
Payments
1
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $94 |
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: 2023-08-29
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 |
|---|---|---|---|---|
| I20230706003416 | I | General Surgery | IL | TBD |
| I20230829001636 | I | General Surgery | IN | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 608 | 204 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 408 | 408 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 304 | 249 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 42 | 22 | $0 |
Insurance plans in this area (ZIP 48278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
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