MRS. JENNIFER ANN JORDAN (M.D.) – Otolaryngology Physician, NPI 1003808528
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
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Provider Addresses for MRS. JENNIFER ANN JORDAN (M.D.)
1130, Beachview Street, Trails of White Rock Apartments, Dallas, TX, Dallas, Dallas County, Texas, 75218, United States
SUITE 240
DALLAS, TX 752183700
Phone: (214) 324-0418
Fax: (214) 324-0693
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 12 Open Payments records for all available years, with a total value of $814.
Total Amount is formed as General ($814) + Research ($0) + Ownership ($0) = $814.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Davol Inc. ($483).
Total Amount
$814
General + Research + Ownership
Payments
12
Total payment records
General Amount
$814
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $483 |
| Inspire Medical Systems, Inc. | $257 |
| Regeneron Healthcare Solutions, Inc. | $40 |
| GENZYME CORPORATION | $34 |
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: 2011-12-12
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 |
|---|---|---|---|---|
| I20111212000855 | I | Otolaryngology | TX | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 136 | 108 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 121 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 79 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 83 | 83 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 60 | 50 | $0 |
Insurance plans in this area (ZIP 75218)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | TX | 92567 | Eardrum testing using ear probe | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX |
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