JORDAN B HORROCKS (PA-C) – Surgical Physician Assistant, NPI 1558538140

JORDAN B HORROCKS (PA-C) is a healthcare provider. based in Beaverton, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA165164 (OR). The NPI Number for JORDAN B HORROCKS (PA-C) is 1558538140

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN B HORROCKS (PA-C)
NPI
1558538140
Phone
(503) 906-4301
Address
14795 SW Murray Scholls Dr Ste 109
Enumeration Date
13 May 2008
Last Update Date
23 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032145200
Graduation Year
2007 (19 years ago)
PAC ID
1759453863
Group Practice PAC ID
1052219953
Professional Enrollment ID
I20140423001540
Address ID
OR970079230BE14795DRXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for JORDAN B HORROCKS (PA-C)

  • 14795 SW Murray Scholls Dr Ste 109

    Beaverton, OR 970079230

    Phone: (503) 906-4301

    Fax: (503) 906-6613

    Type: Location

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 300

    PORTLAND, OR 972255914

    Phone: (503) 214-5200

    Fax: (503) 906-6613

    Type: Mailing

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 $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($52).

Total Amount

$110

General + Research + Ownership

Payments

3

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2014-04-23

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
I20140423001540IPhysician AssistantORTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29450$0
20610Aspiration and/or injection of fluid from large joint183107$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose16866$0
73030X-ray of shoulder, minimum of 2 views5939$0
99213Established patient office or other outpatient visit, 20-29 minutes4541$0
View full utilization report →

Insurance plans in this area (ZIP 97007)

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Provider's Procedures

JORDAN B HORROCKS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR20610Aspiration and/or injection of large joint or joint capsule258109

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: 1052219953View full group profile
NameSpecialtyState
Family PracticeAL
Physician AssistantCA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
Physician AssistantOR
Occupational Therapist In Private PracticeOR
Physician AssistantMA
Physical Medicine And RehabilitationOR
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

Does JORDAN B HORROCKS (PA-C) have a public NPI I can cite?
Public records show JORDAN B HORROCKS (PA-C) under NPI 1558538140.
Is JORDAN B HORROCKS (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JORDAN B HORROCKS (PA-C) as active.
What type of care does JORDAN B HORROCKS (PA-C) provide?
JORDAN B HORROCKS (PA-C)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORDAN B HORROCKS (PA-C)?
JORDAN B HORROCKS (PA-C) is associated with Beaverton, Oregon in the same public data insurers reference.
Why is information missing for JORDAN B HORROCKS (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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