JORDAN SPOON (PAC) – Physician Assistant, NPI 1265807770
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for JORDAN SPOON (PAC)
9097 W POST RD
SUITE 100
LAS VEGAS, NV 891482449
Phone: (702) 430-5333
Fax: (702) 430-5335
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 246 Open Payments records for all available years, with a total value of $7,237.
Total Amount is formed as General ($7,237) + Research ($0) + Ownership ($0) = $7,237.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,689).
Total Amount
$7,237
General + Research + Ownership
Payments
246
Total payment records
General Amount
$7,237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,689 |
| ABBVIE INC. | $1,218 |
| UCB, Inc. | $928 |
| E.R. Squibb & Sons, L.L.C. | $763 |
| Dermavant Sciences, Inc. | $386 |
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: 2016-03-08
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 |
|---|---|---|---|---|
| I20160308002587 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 925 | 152 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 347 | 261 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 245 | 194 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 156 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 205 | 171 | $0 |
Insurance plans in this area (ZIP 89148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| D E R M A T O L O G Y | NV | |
| - | NV | |
| - | NV | |
| Physician Assistant | NV | |
| Physician Assistant | OH | |
| Physician Assistant | NY | |
| Radiation Oncology | NV | |
| Physician Assistant | AZ | |
| Nurse Practitioner | NV |
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