DR. ROGER WAYNE JORDAN JR. MD
NPI 1073992566
Radiology - Diagnostic Radiology in Rochester, MN

Q: What is Roger Jordan's NPI number?

The NPI number for Roger Jordan is 1073992566. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Q: What is Roger Jordan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Roger Jordan was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511(000) 000-0000 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Aug 6, 2020, May 15, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Roger Wayne Jordan Jr. Md NPPES

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

DR. ROGER WAYNE JORDAN JR. MD (NPI 1073992566) is an individual diagnostic radiology provider in Rochester, Minnesota, licensed in Minnesota (66463) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Gila Regional Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1073992566

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. ROGER WAYNE JORDAN JR.Credential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511 · Fax (000) 000-0000

Phone(507) 284-2511

Fax(000) 000-0000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2015

Enumeration DateMay 29, 2015

Last NPPES UpdateOctober 25, 20214 updates tracked since enumeration

NPPES CertifiedOctober 25, 2021

✔ NPI 1073992566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MN · 66463

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 16431 Fannin St, Suite MSB 2.116Houston, TX 77030-1501 · Phone (713) 500-7640 · Fax (713) 500-7647

Other Identifiers 1

OtherBP10052905TX · Texas Medical Board Phycian-in-training Permit

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

Dr. Roger Wayne Jordan Jr. Md 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 ID1658702931

PECOS Enrollment IDI20241227003049

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.

Hospital Affiliations CMS Care Compare

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

Gila Regional Medical Center

Critical Access Hospitals · Silver City, NM

OwnershipGovernment - Local

CMS Certification Number321311

Location1313 E 32nd StSilver City, NM 88061 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

EMILY LEASURE MD

Internal Medicine