JORDAN LOUISE KOONTZ (PA-C) – Physician Assistant, NPI 1255824686
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for JORDAN LOUISE KOONTZ (PA-C)
432 DUNKARD HOLLOW RD
ALUM BANK, PA 155217706
Phone: (814) 979-8146
Type: Mailing
Pike Place, Walnut Grove, Johnstown, Cambria County, Pennsylvania, 15902, United States
JOHNSTOWN, PA 159042833
Phone: (888) 918-5465
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 213 Open Payments records for all available years, with a total value of $3,552.
Total Amount is formed as General ($3,552) + Research ($0) + Ownership ($0) = $3,552.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($807).
Total Amount
$3,552
General + Research + Ownership
Payments
213
Total payment records
General Amount
$3,552
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $807 |
| Teva Pharmaceuticals USA, Inc. | $575 |
| Janssen Pharmaceuticals, Inc | $518 |
| Alkermes, Inc. | $313 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $271 |
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: 2019-03-15
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 |
|---|---|---|---|---|
| I20190315000921 | I | Physician Assistant | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Psychiatry, Neurology, Neuropsychiatry | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | PA | |
| Mental Health Counselor | MD | |
| Nurse Practitioner | PA |
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