JASON JORGENSEN, DO, PLLC – Physical Medicine & Rehabilitation Physician, NPI 1013355932
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JASON JORGENSEN, DO, PLLC
2637 N WASHINGTON BLVD # 164
NORTH OGDEN, UT 844142240
Phone: (801) 388-7745
Type: Mailing
500 W MAIN ST
LEWISVILLE, TX 750573641
Phone: (214) 970-6817
Fax: (682) 593-0695
Type: Location
130 S Central Expy
McKinney, TX 750703742
Phone: (214) 970-6817
Type: Location
325 W Hickory Ridge Cir
Argyle, TX 762263947
Phone: (214) 970-6817
Type: Location
1115 STRATFORD PL
KELLER, TX 762485247
Phone: (682) 593-0694
Fax: (682) 593-0695
Type: Mailing
7777 Forest Ln
Dallas, TX 752302571
Phone: (214) 970-6817
Type: Location
1620 Coit Rd
Plano, TX 750756135
Phone: (214) 970-6817
Type: Location
3301 Matlock Rd
Arlington, TX 760152908
Phone: (214) 970-6817
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (158 days ago).
Enrollment records
1
Earliest due date
2025-12-31
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 |
|---|---|---|---|---|
| O20131016000060 | O | Clinic/Group Practice | TX | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84414)
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