KEVIN OTIS JORDAN MD
NPI 1568528057
Emergency Medicine in Columbus, OH


Quality Rating: 94.68 out of 100 score

NPI Status: Active since December 29, 2006

Contact Information

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228
Phone: (330) 493-4443
Fax: (330) 493-8677

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  • Individual
  • Male
  • Years of Experience 29
  • Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KEVIN JORDAN

This page provides the complete NPI Profile along with additional information for Kevin Jordan, a provider established in Columbus, Ohio with a medical specialization in Emergency Medicine and more than 29 years of experience. He graduated from State University Of New York Downstate Medical Center in 1997. The healthcare provider is registered in the NPI registry with number 1568528057 assigned on December 2006. The practitioner's primary taxonomy code is 207P00000X with license number 35.005063 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1568528057
Provider Name
KEVIN OTIS JORDAN MD
Gender
Male
Entity Type
Individual
Location Address
5100 W BROAD ST COLUMBUS, OH 43228
Location Phone
(330) 493-4443
Location Fax
(330) 493-8677
Mailing Address
PO BOX 7527 DUBLIN, OH 43017
Mailing Phone
(419) 520-2495
Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
12-29-2006
Last Update Date
05-20-2023
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Location Map

Secondary Locations

  • 6905 Hospital Dr Ste 130
    Dublin, OH 43016
    (149) 230-3006

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
35.005063
License State
OH
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kevin Jordan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kevin Jordan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8820045867

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050401000666

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 84 times for 82 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 26 times for 26 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 19 times for 18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 77 times for 71 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 43228 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.68, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 94.68 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 86.49

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Jordan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RIVERSIDE METHODIST HOSPITAL3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
(614) 788-8251Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568528057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512810216010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1568528057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

PATHOLOGY SERVICES, INC.

Clinical Medical Laboratory

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 297-4000

DR. ROBERT A LOWE M.D.

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1810

DR. BRUCE EDWARD WERHAN D.O.

Anesthesiology

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(314) 428-8335

DR. SURESH CHANDER GUPTA M.D.

Anesthesiology

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(314) 428-8335

DR. CHRISTOPHER PAUL LAMPSON D.O.

Anesthesiology

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(314) 428-8335

DR. MATTHEW RYAN BROWN D.O.

Anesthesiology

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(314) 428-8335

TERESITA MORALES-YURIK MD

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

PAULA JONES DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

KAREN VINCENT DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

KEVIN KLAUER DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

JOHN HINCKLEY DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

PETER BELL DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

MARCUS TOPINKA MD

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

WILLIAM FRASER DO

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(330) 493-4443

DEAN L COLWELL DO

Internal Medicine

(Gastroenterology)

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-2061

MICHAEL KREUTER M.D.

Anesthesiology

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-2563

KEVIN SAGE D.O.

Anesthesiology

5100 W BROAD ST
DEPARTMENT OF ANESTHESIA
COLUMBUS, OH
ZIP 43228

(614) 544-1000

AMY L BEATTY PHARM.D., BCPS

Pharmacist

(Pharmacotherapy)

5100 W BROAD ST
DOCTORS HOSPITAL PHARMACY DEPARTMENT
COLUMBUS, OH
ZIP 43228

(614) 544-2495

DR. KIMBERLY KAY CUNAGIN D.O.

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1047

DR. HEATHER MICHELLE CHILDERS D.O.

Emergency Medicine

5100 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568528057, enumerated as an "individual" on December 29, 2006.

The provider is located at 5100 W BROAD ST COLUMBUS, OH 43228 and the phone number is (330) 493-4443.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: CareSource and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.

Kevin Jordan is affiliated with: RIVERSIDE METHODIST HOSPITAL.