JORDAN DAVIS (MD) – Diagnostic Radiology Physician, NPI 1629515697
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for JORDAN DAVIS (MD)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND AFB, TX 782369908
Phone: (210) 292-3859
Type: Mailing
4102 PINION DR
USAF ACADEMY, CO 808402502
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $194.
Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.
Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Medtronic, Inc. ($194).
Total Amount
$194
General + Research + Ownership
Payments
2
Total payment records
General Amount
$194
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $194 |
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: 2024-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20221108001640 | I | Diagnostic Radiology | TX | TBD |
| I20240205001209 | I | Diagnostic Radiology | CO | TBD |
| I20240917004742 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 167 | 164 | $0 |
| 70450 | Ct scan head or brain without contrast | 104 | 102 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 53 | 53 | $0 |
| 71046 | X-ray of chest, 2 views | 34 | 33 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 32 | 32 | $0 |
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | AZ |
Reviews
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