JORDAN G STANLEY (MD) – Orthopaedic Surgery Physician, NPI 1174514350
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
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Provider Addresses for JORDAN G STANLEY (MD)
East Hawkins Parkway, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756057905
Phone: (903) 758-2746
Fax: (903) 758-7127
Type: Location
802 MEDICAL CIR STE 300
LONGVIEW, TX 756055204
Phone: (903) 758-2746
Fax: (903) 553-7755
Type: Location
323 E Hawkins Pkwy Ste A
Longview, TX 756057905
Phone: (903) 758-2746
Fax: (903) 758-7127
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($31).
Total Amount
$103
General + Research + Ownership
Payments
5
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-05-20
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 |
|---|---|---|---|---|
| I20040520001182 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 458 | 95 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 246 | 178 | $0 |
| 73560 | X-ray of knee, 1-2 views | 206 | 153 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 164 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 118 | 118 | $0 |
Insurance plans in this area (ZIP 75605)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 27447 | Repair of knee joint | 48 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | ME | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Cardiovascular Disease (Cardiology), Hospitalist, Interventional Cardiology | ME |
Reviews
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