JORDAN MASTALERZ (PA-C) – Physician Assistant, NPI 1508417205
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for JORDAN MASTALERZ (PA-C)
808 Hatcher Ln
Columbia, TN 384013524
Phone: (931) 388-6256
Fax: (931) 540-8732
Type: Location
120 Frank Martin Rd Ste 101
Shelbyville, TN 371607195
Phone: (098) 693-1685
Type: Location
4323 Carothers Pkwy Ste 300
Franklin, TN 370675917
Phone: (615) 791-8888
Fax: (615) 791-8667
Type: Location
1580 LIBERTY LN
GALLATIN, TN 370669104
Phone:
Type: Mailing
101, Frank Martin Road, Shelbyville, Bedford County, Tennessee, 37160, United States
SHELBYVILLE, TN 371607195
Phone: (098) 693-1685
Type: Location
3024 BUSINESS PARK CIR
GOODLETTSVILLE, TN 370723132
Phone: (615) 239-2018
Type: Mailing
4601 CAROTHERS PKWY STE 375
FRANKLIN, TN 370676000
Phone: (615) 791-4790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $563.
Total Amount is formed as General ($563) + Research ($0) + Ownership ($0) = $563.
Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Boston Scientific Corporation ($320).
Total Amount
$563
General + Research + Ownership
Payments
24
Total payment records
General Amount
$563
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $320 |
| Inari Medical, Inc. | $130 |
| Medtronic, Inc. | $74 |
| Bard Peripheral Vascular, Inc. | $27 |
| ShockWave Medical, Inc | $13 |
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: 2019-11-22
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 |
|---|---|---|---|---|
| I20191122001475 | I | Physician Assistant | TN | 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 | 44 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 37225 | Removal of plaque in arteries of leg | 14 | 14 | $0 |
Insurance plans in this area (ZIP 38401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| Family Practice, Sports Medicine | TN | |
| Family Practice, General Practice | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| - | TN |
Reviews
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