SAMUEL T JORDEN PA
NPI 1225678378
Physician Assistant in Tulsa, OK

Active since January 07, 2020PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
6161 S YALE AVE, TULSA, OK 74136(918) 494-1805(918) 494-4573 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Jun 22, 2021, Jan 7, 2020 (3 updates tracked since 2020).

About Samuel T Jorden Pa NPPES

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

SAMUEL T JORDEN PA (NPI 1225678378) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (4590) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225678378
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL T JORDENCredential: PA
Location Address6161 S YALE AVETulsa, OK 74136-1902
Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3361 · (918) 488-6653
Fax(918) 494-4573
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
NPI 1225678378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 4590
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6161 S YALE AVE, Tulsa, OK 74136

Other Identifiers 1

Medicaid200977960AOK

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

Samuel T Jorden Pa 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 ID9830515501
PECOS Enrollment IDI20210428001600
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 3

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370235
Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County
Emergency services

Ascension St John Sapulpa

Critical Access Hospitals · Sapulpa, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number371312
Location1004 East BryanSapulpa, OK 74066 · Creek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

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.

Surgery (Surgical Critical Care)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Physical Therapist
6161 S YALE AVE
TULSA, OK 74136
Physical Therapy Assistant
6161 S YALE AVE
TULSA, OK 74136
Rehabilitation Unit
6161 S YALE AVE
TULSA, OK 74136
General Acute Care Hospital (Critical Access)
6161 S YALE AVE
TULSA, OK 74136
Emergency Medicine
6161 S YALE AVE
TULSA, OK 74136
Hospitalist
6161 S YALE AVE
TULSA, OK 74136

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 Samuel Jorden's NPI number?

The NPI number for Samuel Jorden is 1225678378. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Samuel Jorden located?

Samuel Jorden practices at 6161 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 494-1805.

What is Samuel Jorden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Jorden enrolled in Medicare?

Yes. Samuel Jorden 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 Samuel Jorden accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Samuel Jorden 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 Samuel Jorden affiliated with any hospitals?

According to CMS data, Samuel Jorden is affiliated with Ascension St John Medical Center, Ascension St John Broken Arrow and Ascension St John Sapulpa.

When was this NPI record last updated?

The NPPES record for Samuel Jorden was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.