ELIZABETH T JORDAN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1396717922
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
518 PATHOLOGY in MN
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Provider Addresses for ELIZABETH T JORDAN (MD)
8170 33RD AVE S
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
SAINT PAUL, MN 551012502
Phone: (651) 254-4796
Fax: (651) 254-2741
Type: Location
34th Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MAIL STOP 21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-5463
Fax: (952) 883-5395
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2026-02-04
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 |
|---|---|---|---|---|
| I20100322000963 | I | Pathology | MN | TBD |
| I20260204001900 | I | Pathology | WI | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 283 | 180 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 121 | 31 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 54 | 49 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 41 | 40 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 39 | 28 | $0 |
Insurance plans in this area (ZIP 55425)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | MN | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 32 | 28 |
| PATHOLOGY | MN | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 43 | 29 |
| PATHOLOGY | MN | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 22 | 17 |
| PATHOLOGY | MN | 88342 | Tissue or cell analysis by immunologic technique | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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