MR. JORDAN RILEY CORMACK (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1548890247
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. JORDAN RILEY CORMACK (PHYSICIAN ASSISTANT)
9056 HIGHBRIDGE DR
KNOXVILLE, TN 379221439
Phone:
Type: Mailing
1901 CLINCH AVE
KNOXVILLE, TN 379162307
Phone: (865) 541-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,259.
Total Amount is formed as General ($2,259) + Research ($0) + Ownership ($0) = $2,259.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($1,735).
Total Amount
$2,259
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,735 |
| Janssen Pharmaceuticals, Inc | $291 |
| AstraZeneca Pharmaceuticals LP | $109 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $81 |
| CSL Behring | $29 |
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: 2020-05-08
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 |
|---|---|---|---|---|
| I20200508001012 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 350 | 308 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 70 | 65 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 61 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 37 | 29 | $0 |
Insurance plans in this area (ZIP 37922)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | TN | |
| - | TN | |
| Nurse Practitioner | NC | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | TN | |
| Interventional Cardiology | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Interventional Cardiology | TN | |
| - | TN |
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