DR. ROGER L JORDAN (O.D.) – Corneal and Contact Management Optometrist, NPI 1972537561

DR. ROGER L JORDAN (O.D.) is a healthcare provider. based in Gillette, Wyoming. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 142-T (WY). The NPI Number for DR. ROGER L JORDAN (O.D.) is 1972537561

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGER L JORDAN (O.D.)
NPI
1972537561
Phone
(307) 682-2020
Address
609 4J CT
Enumeration Date
10 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3076822020
Graduation Year
1980 (46 years ago)
PAC ID
8628964798
Group Practice PAC ID
3870507221
Professional Enrollment ID
I20060208000425
Address ID
WY827164127GI609XXCOUR300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

106 OPTOMETRY in WY

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Provider Addresses for DR. ROGER L JORDAN (O.D.)

  • Peterson Court Subdivision, Gillette, Campbell County, Wyoming, United States

    GILLETTE, WY 827164135

    Phone: (307) 682-2020

    Fax: (307) 682-5656

    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 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Alcon Vision LLC ($61).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2006-02-08

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
I20060208000425IOptometryWYTBD

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
92014Established patient complete exam of visual system356353$0
92134Imaging of retina6967$0
99213Established patient office or other outpatient visit, 20-29 minutes5351$0
66984Removal of cataract with insertion of prosthetic lens4731$0
99212Established patient office or other outpatient visit, 10-19 minutes4745$0
View full utilization report →

Insurance plans in this area (ZIP 82716)

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Provider's Procedures

DR. ROGER L JORDAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWY92083Measurement of field of vision during daylight conditions2625
OPTOMETRYWY92134Diagnostic imaging of retina120100

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: 3870507221View full group profile
NameSpecialtyState
O P T O M E T R YWY
O P T O M E T R YWY
-WY
O P T O M E T R YWY
O P T O M E T R YWY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ROGER L JORDAN (O.D.)'s NPI?
Yes. DR. ROGER L JORDAN (O.D.) is listed with NPI 1972537561 in the public NPI dataset.
Is DR. ROGER L JORDAN (O.D.) still practicing?
DR. ROGER L JORDAN (O.D.) is currently listed as active in the public NPI registry.
What is DR. ROGER L JORDAN (O.D.) best known for clinically?
Directory data describes DR. ROGER L JORDAN (O.D.) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ROGER L JORDAN (O.D.)?
DR. ROGER L JORDAN (O.D.)'s geographic hint is Gillette, Wyoming in our summary view.
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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