TERRY JORDAN – Physician Assistant, NPI 1114987765

TERRY JORDAN is a healthcare provider. based in Altoona, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA051733 (PA). The NPI Number for TERRY JORDAN is 1114987765

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TERRY JORDAN
NPI
1114987765
Phone
Not provided
Address
1414 9TH AVE
Enumeration Date
27 March 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149461655
Graduation Year
2004 (22 years ago)
PAC ID
1759333016
Group Practice PAC ID
5395659312
Professional Enrollment ID
I20050215000307
Address ID
PA166022415AL1414XAVEX301
Telehealth
Yes

Contacts

Secure Messaging
terry.jordan@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,738 PHYSICIAN ASSISTANT in PA

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Provider Addresses for TERRY JORDAN

  • 1414, 9th Avenue, Altoona, Blair County, Pennsylvania, 16602, United States

    STATION MEDICAL CENTER

    ALTOONA, PA 166022415

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2005-02-15

PECOS data refreshed: 2026-06-15

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
I20050215000307IPhysician AssistantPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes188131$0
99213Established patient office or other outpatient visit, 20-29 minutes6560$0
99441Telephone medical discussion with physician, 5-10 minutes3836$0
View full utilization report →

Insurance plans in this area (ZIP 16602)

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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: 5395659312View full group profile
NameSpecialtyState
Physician AssistantPA
Diagnostic RadiologyID
-PA
-PA
Physician AssistantVA
Advanced Heart Failure And Transplant CardiologyPA
Physician AssistantPA
-PA
-PA
-PA

Reviews

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Frequently asked questions

What identifier follows TERRY JORDAN across health systems?
The NPI 1114987765 uniquely identifies TERRY JORDAN in U.S. healthcare data.
Should I treat TERRY JORDAN as an active provider?
Patients and plans typically see TERRY JORDAN as active in the national extract.
How should patients interpret TERRY JORDAN's specialty?
The extract shows Physician Assistant for TERRY JORDAN. Clinical services aligned with this taxonomy classification.
Is TERRY JORDAN tied to Altoona, Pennsylvania?
If you are local to Altoona, Pennsylvania, TERRY JORDAN may be relevant to your search.
Who maintains TERRY JORDAN's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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