LAUREL JORDAN (DO) – Obstetrics & Gynecology Physician, NPI 1720188493
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
480 OBSTETRICS/GYNECOLOGY in OK
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Provider Addresses for LAUREL JORDAN (DO)
530, North Monte Vista Street, Ada, Pontotoc County, Oklahoma, 74820, United States
SUITE A
ADA, OK 748204675
Phone: (580) 436-7101
Fax: (580) 436-4447
Type: Mailing
2020, East Arlington Street, Ada, Pontotoc County, Oklahoma, 74820, United States
SUITE 2
ADA, OK 748202822
Phone: (580) 436-9037
Fax: (580) 436-9028
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $818.
Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($112).
Total Amount
$818
General + Research + Ownership
Payments
38
Total payment records
General Amount
$818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-09-28
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 |
|---|---|---|---|---|
| I20070928000612 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 27 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 33 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 16 | 16 | $0 |
Insurance plans in this area (ZIP 74820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | OK | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| Critical Care (Intensivists), Pulmonary Disease | OK | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OK | |
| - | OK | |
| - | OK | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| G A S T R O E N T E R O L O G Y | OK | |
| - | OK |
Reviews
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