JORDAN ROBERT HARRIS (D.O.) – Dermatology Physician, NPI 1285998484

JORDAN ROBERT HARRIS (D.O.) is a healthcare provider. based in Lehi, Utah. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 9557457-1204 (UT). The NPI Number for JORDAN ROBERT HARRIS (D.O.) is 1285998484

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN ROBERT HARRIS (D.O.)
NPI
1285998484
Phone
(801) 768-8800
Address
680 E Main St Ste 201
Enumeration Date
2 July 2012
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
5193071686
Group Practice PAC ID
7113181355
Professional Enrollment ID
I20180713002186
Address ID
UT840432251LE680XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for JORDAN ROBERT HARRIS (D.O.)

  • 680 E Main St Ste 201

    Lehi, UT 840432251

    Phone: (801) 768-8800

    Type: Location

  • 1124 S TOPAZ RD

    SARATOGA SPRINGS, UT 840458200

    Phone: (208) 861-4223

    Type: Mailing

  • 680 E MAIN ST STE 201

    LEHI, UT 840432251

    Phone: (801) 768-8800

    Type: Location

  • 62 E THRIVE DR

    SARATOGA SPRINGS, UT 840455558

    Phone: (801) 768-8800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 147 Open Payments records for all available years, with a total value of $2,649.

Total Amount is formed as General ($2,649) + Research ($0) + Ownership ($0) = $2,649.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($536).

Total Amount

$2,649

General + Research + Ownership

Payments

147

Total payment records

General Amount

$2,649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-07-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180713002186IDermatologyUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg5,60016$0
17003Destruction of precancer skin growth, 2-14 growths96089$0
88305Pathology examination of tissue using a microscope, intermediate complexity30595$0
17000Destruction of precancer skin growth, 1 growth16196$0
99213Established patient office or other outpatient visit, 20-29 minutes15993$0
View full utilization report →

Insurance plans in this area (ZIP 84043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113181355View full group profile
NameSpecialtyState
D E R M A T O L O G YUT
Physician AssistantUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
Nurse PractitionerUT
D E R M A T O L O G YMO
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I use this page to confirm JORDAN ROBERT HARRIS (D.O.)'s NPI?
Yes. JORDAN ROBERT HARRIS (D.O.) is listed with NPI 1285998484 in the public NPI dataset.
Is JORDAN ROBERT HARRIS (D.O.) still practicing?
JORDAN ROBERT HARRIS (D.O.) is currently listed as active in the public NPI registry.
What is JORDAN ROBERT HARRIS (D.O.)'s specialty?
The listing groups JORDAN ROBERT HARRIS (D.O.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does JORDAN ROBERT HARRIS (D.O.) serve?
JORDAN ROBERT HARRIS (D.O.)'s listing highlights Lehi, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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