DR. JORDAN DE-PAZ MD
NPI 1174540520
Family Medicine in Modesto, CA

Q: What is Jordan De-paz's NPI number?

The NPI number for Jordan De-paz is 1174540520. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Jordan De-paz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan De-paz was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 15, 2006PECOS EnrolledAccepts Medicare Assignment

3125 CONANT AVE, MODESTO, CA 95350(209) 524-1668(209) 524-0014 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jordan De-paz Md NPPES

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

DR. JORDAN DE-PAZ MD (NPI 1174540520) is an individual family medicine provider in Modesto, California, licensed in California (A82325) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2000).

NPPES Registry Identity

NPI1174540520

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JORDAN DE-PAZCredential: MD

Location Address3125 CONANT AVEModesto, CA 95350-6527

Mailing Address3125 Conant AveModesto, CA 95350-6527 · (209) 524-1668 · Fax (209) 524-0014

Phone(209) 524-1668

Fax(209) 524-0014

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2000

Enumeration DateJuly 15, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1174540520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A82325

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.

3125 CONANT AVE, Modesto, CA 95350

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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. Jordan De-paz 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 ID4688636988

PECOS Enrollment IDI20080521000894

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 95350 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers38 claims106 services$5.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers21 claims30 services$1.05 avg. paid by Medicare

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189

Other-Enteral and Parenteral · category OB005N

1 supplier28 claims196 services$177.32 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier28 claims196 services$7.99 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier28 claims196 services$24.38 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$784.72 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 5

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

GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.

Family Medicine