JORDAN M. MCAULIFF (PA-C) – Physician Assistant, NPI 1679556104
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for JORDAN M. MCAULIFF (PA-C)
200, South Yale Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 741368315
Phone: (918) 481-2767
Fax: (918) 494-9277
Type: Location
East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States
TULSA, OK 741374265
Phone: (918) 927-3226
Fax: (918) 927-3193
Type: Mailing
2488 E 81ST ST STE 290
TULSA, OK 741374265
Phone: (918) 494-2665
Fax: (918) 927-3201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Bioventus LLC ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $19 |
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: 2004-03-15
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 |
|---|---|---|---|---|
| I20040315001157 | I | Physician Assistant | OK | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 76 | 12 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | 14 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 19 | 19 | $0 |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 18 | 18 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 18 | 18 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| - | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK | |
| - | OK | |
| - | TN | |
| Physical Therapist In Private Practice | OK |
Reviews
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