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

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: November 01, 2026.

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

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
Fax(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

18

Medicare enrollment records show Roger Jordan reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
405 MONROE ST
Pella, IA 50219
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1578520888 (Iowa)
  • 129 clinicians in this Medicare group
Diagnostic Radiology
446 E ONTARIO ST STE 106
Chicago, IL 60611
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
27501 WOODWARD AVE STE B
Berkley, MI 48072
  • Reassigned Medicare billing, Michigan enrollment
  • 15 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
13213 W 21ST CT N
Wichita, KS 67235
  • Reassigned Medicare billing, Kansas enrollment
Radiology
1640 JESSE JEWELL PKWY SE STE 2
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 191 clinicians in this Medicare group
Hospitalist
1040 RIVER OAKS DR, SUITE 103
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi and Georgia enrollments
  • Also billed through NPI 1154608883 (Georgia)
  • 87 clinicians in this Medicare group
Radiology
3921 JOHNS CREEK CT, SUITE B
Johns Creek, GA 30024
  • Reassigned Medicare billing, Georgia enrollment
  • 202 clinicians in this Medicare group
Radiology
9459 HIGHWAY 5 STE R
Douglasville, GA 30135
  • Reassigned Medicare billing, Georgia enrollment
  • 207 clinicians in this Medicare group
Family Medicine
1314 19TH AVE
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 349 clinicians in this Medicare group
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 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.

Where is Roger Jordan located?

Roger Jordan practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Roger Jordan's specialty?

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

Is Roger Jordan enrolled in Medicare?

Yes. Roger Jordan 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.

Which organizations bill Medicare for Roger Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Jordan reassigns Medicare benefits to 18 organizations: Pella Regional Health Center (Pella, IA), Howard Simon MD PLLC (Chicago, IL), Michigan Radiology Institute PLLC (Berkley, MI), Sunflower Imaging (Wichita, KS), M & B Imaging, PC (Gainesville, GA) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Jordan accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming and Oscar Health Plan, Inc. and 2 other insurers list Roger Jordan 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 Roger Jordan affiliated with any hospitals?

According to CMS data, Roger Jordan is affiliated with Gila Regional Medical Center.

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 5 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.