DR. ANTHONY SCOTT JORDAN MD
NPI 1144212549
Family Medicine in Boise, ID

Q: What is Anthony Jordan's NPI number?

The NPI number for Anthony Jordan is 1144212549. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Anthony Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Anthony Jordan enrolled in Medicare?

No. Anthony Jordan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Anthony Jordan was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 22, 2005Opted out of Medicare · through Jan 1, 2028

12080 MCMILLAN RD, BOISE, ID 83713(208) 375-4955(208) 375-5568 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Anthony Scott Jordan Md NPPES

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

DR. ANTHONY SCOTT JORDAN MD (NPI 1144212549) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M-9584) and active in the NPI registry since August 2005. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with St Luke's Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2000).

NPPES Registry Identity

NPI1144212549

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ANTHONY SCOTT JORDANCredential: MD

Location Address12080 MCMILLAN RDBoise, ID 83713-2462

Mailing Address190 E Bannock StBoise, ID 83712 · (208) 375-4955 · Fax (208) 375-5568

Phone(208) 375-4955

Fax(208) 375-5568

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2000

Enumeration DateAugust 22, 2005

Last NPPES UpdateJanuary 23, 2014

✔ NPI 1144212549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · M-9584✔ Licensed in IN · 01056364A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12080 MCMILLAN RD, Boise, ID 83713

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Other Identifiers 1

Medicare PIN20000376ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anthony Scott Jordan Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

200 services92 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

77 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services28 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers15 claims86 services$1.56 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers17 claims17 services$32.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ANGELA DAWN PELLANT MD

Family Medicine

12080 MCMILLAN RD
BOISE, ID 83713

Ada County (208) 375-4955

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 Anthony Jordan's NPI number?

The NPI number for Anthony Jordan is 1144212549. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Anthony Jordan located?

Anthony Jordan practices at 12080 Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 375-4955.

What is Anthony Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Jordan enrolled in Medicare?

No. Anthony Jordan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Anthony Jordan accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Anthony 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 Anthony Jordan affiliated with any hospitals?

According to CMS data, Anthony Jordan is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Jordan was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.