DR. RAYMOND F JORDAN (DO) – Family Medicine Physician, NPI 1104851096
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. RAYMOND F JORDAN (DO)
Turtle Creek Drive, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 757011947
Phone: (903) 596-3588
Fax: (903) 594-2038
Type: Mailing
12295 HWY. 64 E
TYLER, TX 75707
Phone: (903) 590-5171
Fax: (903) 590-5179
Type: Location
4002 TECHNOLOGY CTR
LONGVIEW, TX 756052697
Phone: (903) 247-0484
Fax: (903) 247-0485
Type: Mailing
103 N MAIN ST
LINDALE, TX 757713115
Phone: (903) 882-3194
Fax: (903) 882-7405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Novo Nordisk Inc ($112).
Total Amount
$178
General + Research + Ownership
Payments
10
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $112 |
| PFIZER INC. | $21 |
| Paratek Pharmaceuticals, Inc. | $17 |
| ABBVIE INC. | $15 |
| Lilly USA, LLC | $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: 2004-06-12
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 |
|---|---|---|---|---|
| I20040612000645 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 55 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 32 | 17 | $0 |
| 81003 | Automated urinalysis test | 29 | 25 | $0 |
| 83036 | Hemoglobin a1c level | 28 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | 18 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| - | TX | |
| Family Practice | OK | |
| - | TX | |
| - | TX | |
| - | TX | |
| Colorectal Surgery (Proctology), General Surgery | TX | |
| - | OH | |
| - | TX | |
| - | TX |
Reviews
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