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JORDAN GAUDIO MD
NPI 1063946325
Pediatrics in Provo, UT

Active since April 13, 2017PECOS Enrolled

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Feb 8, 2024, Jul 7, 2023 and 1 more (4 updates tracked since 2017).

About Jordan Gaudio Md NPPES

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

JORDAN GAUDIO MD (NPI 1063946325) is an individual pediatrics provider in Provo, Utah, licensed in Utah (13384855-1205) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1063946325
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJORDAN GAUDIOCredential: MD
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-1700
Sole ProprietorNo
Enumeration DateApril 13, 2017
Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1063946325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 13384855-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 13384855-1205 (UT)
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Other Names 1

Former Name (1)Jordan Derck Md

Secondary Practice Location 1

Location 1111 Michigan Ave NWWashington, DC 20010-2916 · Phone (202) 476-3670 · Fax (202) 476-4741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Gaudio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Gaudio's NPI number?

The NPI number for Jordan Gaudio is 1063946325. It was assigned to this individual provider in the NPPES registry on April 13, 2017. The provider is also known as Jordan Derck MD.

Where is Jordan Gaudio located?

Jordan Gaudio practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-1700.

What is Jordan Gaudio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jordan Gaudio enrolled in Medicare?

Yes. Jordan Gaudio is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Gaudio accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Jordan Gaudio 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.

When was this NPI record last updated?

The NPPES record for Jordan Gaudio was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.