CARL DANIEL JORDAN DO
NPI 1194921452
Surgery in Willow Park, TX

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
101 CROWN POINTE BLVD, WILLOW PARK, TX 76087(817) 757-1675(817) 757-1676 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2020, Nov 1, 2018 (2 updates tracked since 2018).

About Carl Daniel Jordan Do NPPES

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

CARL DANIEL JORDAN DO (NPI 1194921452) is an individual surgery provider in Willow Park, Texas, licensed in Texas (P1774) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1194921452
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCARL DANIEL JORDANCredential: DO
Location Address101 CROWN POINTE BLVDWillow Park, TX 76087-1191
Mailing Address101 Crown Pointe BlvdWillow Park, TX 76087-1191 · (817) 757-1675 · Fax (817) 757-1676
Fax(817) 757-1676
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 25, 2007
Last NPPES UpdateJanuary 9, 20202 updates tracked since enumeration
NPI 1194921452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · P1774
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

101 CROWN POINTE BLVD, Willow Park, TX 76087

Other Names 1

Professional Name (2)C Daniel Jordan Do

Accepted Insurance

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

Carl Daniel Jordan Do 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 ID8123275773
PECOS Enrollment IDI20120904000543
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.

Areas of Expertise CMS Part B claims 9

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
21 services20 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
21 services21 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
21 services20 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76087 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$30.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carl Jordan's NPI number?

The NPI number for Carl Jordan is 1194921452. It was assigned to this individual provider in the NPPES registry on June 25, 2007. The provider is also known as C Daniel Jordan Do.

Where is Carl Jordan located?

Carl Jordan practices at 101 Crown Pointe Blvd, Willow Park, TX 76087. The listed phone number is (817) 757-1675.

What is Carl Jordan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Carl Jordan enrolled in Medicare?

Yes. Carl 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.

What insurance does Carl Jordan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carl 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 Carl Jordan affiliated with any hospitals?

According to CMS data, Carl Jordan is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Texas Health Harris Methodist Hospital Azle and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Carl Jordan was last updated on January 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.