JORDAN E GOAD (PA-C) – Medical Physician Assistant, NPI 1639560857

JORDAN E GOAD (PA-C) is a healthcare provider. based in Medina, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.004232RX (OH). The NPI Number for JORDAN E GOAD (PA-C) is 1639560857

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN E GOAD (PA-C)
NPI
1639560857
Phone
(330) 725-0569
Address
5783 WOOSTER PIKE
Enumeration Date
10 February 2015
Last Update Date
31 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307250569
Graduation Year
2014 (12 years ago)
PAC ID
4082932397
Group Practice PAC ID
6709787989
Professional Enrollment ID
I20150417000635
Address ID
OH446911276WO128XXRDXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for JORDAN E GOAD (PA-C)

  • 5783 WOOSTER PIKE

    MEDINA, OH 442568816

    Phone: (330) 725-0569

    Fax: (330) 662-0258

    Type: Mailing

  • 2865 Center Rd Ste 5

    Brunswick, OH 442122324

    Phone: (330) 725-0569

    Fax: (330) 662-0258

    Type: Location

  • 128 E Milltown Rd Ste 208

    Wooster, OH 446911276

    Phone: (330) 725-0569

    Fax: (330) 662-0258

    Type: Location

  • 5779 Wooster Pike

    Medina, OH 442568816

    Phone: (330) 725-0569

    Fax: (330) 662-0258

    Type: Location

  • 300 Weatherstone Dr Ste 106

    Wadsworth, OH 442817833

    Phone: (330) 725-0569

    Fax: (330) 662-0258

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 322 Open Payments records for all available years, with a total value of $6,184.

Total Amount is formed as General ($6,184) + Research ($0) + Ownership ($0) = $6,184.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,440).

Total Amount

$6,184

General + Research + Ownership

Payments

322

Total payment records

General Amount

$6,184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-17

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
I20150417000635IPhysician AssistantOHTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,096210$0
99214Established patient office or other outpatient visit, 30-39 minutes473336$0
17000Destruction of precancer skin growth, 1 growth396291$0
99213Established patient office or other outpatient visit, 20-29 minutes347304$0
11300Shaving of skin growth of body, arms, or legs, 0.5 cm or less210150$0
View full utilization report →

Insurance plans in this area (ZIP 44256)

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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: 6709787989View full group profile
NameSpecialtyState
Physician AssistantOH
D E R M A T O L O G YOH
Physician AssistantOH
Orthopedic SurgeryOH
D E R M A T O L O G YOH
-OH
Physician AssistantOH
D E R M A T O L O G YOH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

Where can patients find JORDAN E GOAD (PA-C)'s NPI?
You can confirm JORDAN E GOAD (PA-C) with NPI 1639560857; it appears in the national provider directory.
Is JORDAN E GOAD (PA-C)'s NPI currently valid?
The extract we use shows JORDAN E GOAD (PA-C) as active.
What does JORDAN E GOAD (PA-C) treat or focus on?
Patients typically see JORDAN E GOAD (PA-C) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JORDAN E GOAD (PA-C) practice in Ohio?
You will see Medina, Ohio on file for JORDAN E GOAD (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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