JORDAN ROBERT MOE (M.D.) – Family Medicine Physician, NPI 1033386966

JORDAN ROBERT MOE (M.D.) is a healthcare provider. based in Staples, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 52007 (MN). The NPI Number for JORDAN ROBERT MOE (M.D.) is 1033386966

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN ROBERT MOE (M.D.)
NPI
1033386966
Phone
(218) 894-1515
Address
49725 COUNTY 83
Enumeration Date
9 May 2008
Last Update Date
14 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2188941515
Graduation Year
2008 (18 years ago)
PAC ID
1456407063
Group Practice PAC ID
1052229671
Professional Enrollment ID
I20090923000725
Address ID
MN564795280ST49725COUN203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

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Provider Addresses for JORDAN ROBERT MOE (M.D.)

  • 83, Staples Ridge Road, Swans Island, Hancock County, Maine, 04685, United States

    STAPLES, MN 564795280

    Phone: (218) 894-1515

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20090923000725IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3516$0
View full utilization report →

Insurance plans in this area (ZIP 56479)

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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: 1052229671View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical Social WorkerMN
Nurse PractitionerMN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)IA
O B S T E T R I C S/ G Y N E C O L O G YMN
Emergency Medicine, Family PracticeMN
Diagnostic RadiologyMN
Family PracticeMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for JORDAN ROBERT MOE (M.D.)?
JORDAN ROBERT MOE (M.D.) — NPI 1033386966 — is the standard way to identify this listing.
Is JORDAN ROBERT MOE (M.D.) listed as active for patients and plans?
The listing shows JORDAN ROBERT MOE (M.D.) as active in the NPI system.
What is JORDAN ROBERT MOE (M.D.)'s specialty?
The listing groups JORDAN ROBERT MOE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JORDAN ROBERT MOE (M.D.) based?
JORDAN ROBERT MOE (M.D.) is tied to Staples, Minnesota in the data we show; additional addresses may exist on the full record.
Why does JORDAN ROBERT MOE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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