JORDAN SMITH D.O.
NPI 1023464609
Surgery in Moses Lake, WA

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
1550 S PIONEER WAY, MOSES LAKE, WA 98837(509) 793-9792(509) 764-3287 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2026, Aug 4, 2021, May 12, 2016 (3 updates tracked since 2016).

About Jordan Smith D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN SMITH D.O. (NPI 1023464609) is an individual surgery provider in Moses Lake, Washington, licensed in Washington (OP61146174) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1023464609
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJORDAN SMITHCredential: D.O.
Location Address1550 S PIONEER WAYMoses Lake, WA 98837-4613
Mailing Address1616 S Pioneer WayMoses Lake, WA 98837-2487 · (509) 793-9715 · Fax (509) 764-3244
Fax(509) 764-3287
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016
Enumeration DateMay 12, 2016
Last NPPES UpdateMay 4, 20263 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1023464609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · OP61146174
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1550 S PIONEER WAY, Moses Lake, WA 98837

Other Identifiers 1

Medicaid2181923WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Smith D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133525504
PECOS Enrollment IDI20210909003418
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Obstetrics & Gynecology
1550 S PIONEER WAY, SUITE 205
MOSES LAKE, WA 98837
Specialist
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Smith's NPI number?

The NPI number for Jordan Smith is 1023464609. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Jordan Smith located?

Jordan Smith practices at 1550 S Pioneer Way, Moses Lake, WA 98837. The listed phone number is (509) 793-9792.

What is Jordan Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jordan Smith enrolled in Medicare?

Yes. Jordan Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Smith accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jordan Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Smith affiliated with any hospitals?

According to CMS data, Jordan Smith is affiliated with Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Smith was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.