1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Radiology
  6. NPI Profile

DR. JORDAN G DECKER MD
NPI 1417798489
Radiology - Diagnostic Radiology in Charleston, SC

Active since June 04, 2024PECOS Enrolled
96 JONATHAN LUCAS ST CSB 210, MSC 323, CHARLESTON, SC 29425(843) 792-1767 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Jun 17, 2024, Jun 4, 2024 (3 updates tracked since 2024).

About Dr. Jordan G Decker Md NPPES

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

DR. JORDAN G DECKER MD (NPI 1417798489) is an individual diagnostic radiology provider in Charleston, South Carolina, licensed in South Carolina (LL92226) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417798489
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JORDAN G DECKERCredential: MD
Location Address96 JONATHAN LUCAS ST CSB 210, MSC 323Charleston, SC 29425-0001
Mailing Address96 Jonathan Lucas St Csb 210, Msc 323Charleston, SC 29425-0001 · (843) 792-1767
Phone(843) 792-1767
Sole ProprietorYes
Enumeration DateJune 4, 2024
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1417798489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · LL92226
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedFamily MedicineTaxonomy 207Q00000X · License LL92226 (SC)
96 JONATHAN LUCAS ST CSB 210, MSC 323, Charleston, SC 29425
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan G Decker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 3

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

DR. JONATHAN MICHAEL GILLESPIE MD
Radiology (Vascular & Interventional Radiology)
96 JONATHAN LUCAS ST CSB 210, MSC 323
CHARLESTON, SC 29425
Charleston County (843) 792-4607
FEYIKEMI OGUNFUWA MD
Radiology (Diagnostic Radiology)
96 JONATHAN LUCAS ST CSB 210, MSC 323
CHARLESTON, SC 29425
Charleston County (843) 792-1767
GABRIELLE OLIVIA WINDSOR MD
Student in an Organized Health Care Education/Training Program
96 JONATHAN LUCAS ST CSB 210, MSC 323
CHARLESTON, SC 29425
Charleston County (843) 792-1767

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 Decker's NPI number?

The NPI number for Jordan Decker is 1417798489. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Jordan Decker located?

Jordan Decker practices at 96 Jonathan Lucas St Csb 210, Msc 323, Charleston, SC 29425. The listed phone number is (843) 792-1767.

What is Jordan Decker's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jordan Decker enrolled in Medicare?

Yes. Jordan Decker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Decker was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.