DR. JORDEN TYLER KOMM (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1427444686
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
144 SPORTS MEDICINE in MO
Provider Addresses for DR. JORDEN TYLER KOMM (M.D.)
1001 E PRIMROSE ST
SPRINGFIELD, MO 658075155
Phone: (417) 875-3000
Type: Mailing
3555 S NATIONAL AVE
SPRINGFIELD, MO 658077310
Phone: (417) 875-3800
Type: Location
100 HIGH ST
BUFFALO, NY 142031126
Phone:
Type: Mailing
4949 HARLEM RD
AMHERST, NY 142262500
Phone: (716) 204-3200
Fax: (716) 204-4337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $90.
Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: AXOGEN ($49).
Total Amount
$90
General + Research + Ownership
Payments
3
Total payment records
General Amount
$90
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $49 |
| Orthofix Medical, Inc. | $28 |
| Zimmer Biomet Holdings, Inc. | $13 |
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: 2021-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211102000118 | I | Sports Medicine | NY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 100 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 124 | 21 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 90 | 16 | $0 |
| 73564 | X-ray of knee, 4 or more views | 57 | 48 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physical Therapist In Private Practice | NY | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | NY | |
| Physical Therapist In Private Practice | NY | |
| Emergency Medicine | NY | |
| Orthopedic Surgery | NY | |
| Orthopedic Surgery | NY | |
| - | NY |
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