JORDAN JAMES ALLENSWORTH – Otolaryngology Physician, NPI 1912347675
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 OTOLARYNGOLOGY in OR
Provider Addresses for JORDAN JAMES ALLENSWORTH
3181 SW SAM JACKSON PARK RD
OHSU
PORTLAND, OR 972393011
Phone: (503) 494-8220
Type: Location
417 SE 164TH AVE STE 300
VANCOUVER, WA 986848944
Phone: (360) 256-4425
Fax: (360) 256-2474
Type: Location
14411 NE 20th Ave Ste 101
Vancouver, WA 986866432
Phone: (360) 256-4425
Fax: (360) 256-2474
Type: Location
1801 1st Ave Ste 3A
Longview, WA 986323271
Phone: (360) 636-4469
Fax: (360) 425-4970
Type: Location
3181 SW Sam Jackson Park Rd
OHSU
Portland, OR 972393011
Phone: (503) 494-8220
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Cochlear Americas ($339).
Total Amount
$382
General + Research + Ownership
Payments
8
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cochlear Americas | $339 |
| Inspire Medical Systems, Inc. | $42 |
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: 2021-08-02
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 |
|---|---|---|---|---|
| I20210802000651 | I | Otolaryngology | WA | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 450 | 15 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 403 | 15 | $0 |
| 95115 | Professional service for single injection of allergen | 262 | 14 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 210 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 113 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| Physician Assistant | WA | |
| General Surgery, Thoracic Surgery | WA | |
| General Surgery, Thoracic Surgery | WA | |
| Family Practice | WA | |
| O P H T H A L M O L O G Y | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Medical Oncology | WA | |
| Nephrology, Internal Medicine | WA |
Reviews
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