JORDAN SMITH
NPI 1346866357
Family Medicine in Hayward, WI

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
77.32/100
CMS Quality Rating
11040 N STATE RD 77, HAYWARD, WI 54843(715) 934-4910(316) 665-6082 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Oct 18, 2022, Jun 25, 2020 (3 updates tracked since 2020).

About Jordan Smith NPPES

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

JORDAN SMITH (NPI 1346866357) is an individual family medicine provider in Hayward, Wisconsin, licensed in Wisconsin (82812-20) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346866357
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJORDAN SMITH
Location Address11040 N STATE RD 77Hayward, WI 54843
Mailing Address11040 N State Rd 77Hayward, WI 54843 · (715) 934-4910 · Fax (316) 665-6082
Fax(316) 665-6082
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 25, 2020
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1346866357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 82812-20
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 82812-20 (WI)
11040 N STATE RD 77, Hayward, WI 54843

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

Jordan Smith 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 ID4688099864
PECOS Enrollment IDI20220907001267, I20240814002011
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

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

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.05
Promoting Interoperability100
Improvement Activities40
Cost51.69

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Primary Care)
11040 N STATE RD 77
HAYWARD, WI 54843
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Physical Therapist
11040 N STATE RD 77
HAYWARD, WI 54843
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Pharmacist
11040 N STATE RD 77
HAYWARD, WI 54843
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Family Medicine
11040 N STATE RD 77
HAYWARD, WI 54843
Nurse Practitioner (Family)
11040 N STATE RD 77
HAYWARD, WI 54843

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 Jordan Smith's NPI number?

The NPI number for Jordan Smith is 1346866357. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Jordan Smith located?

Jordan Smith practices at 11040 N State Rd 77, Hayward, WI 54843. The listed phone number is (715) 934-4910.

What is Jordan Smith's specialty?

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

Is Jordan Smith enrolled in Medicare?

Yes. Jordan Smith 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 Jordan Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Jordan Smith 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 Jordan Smith affiliated with any hospitals?

According to CMS data, Jordan Smith is affiliated with Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Jordan Smith was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.