JORDAN KAIN STIDHAM O.D.
NPI 1578016184
Optometrist in Minneapolis, MN

Q: What is Jordan Stidham's NPI number?

The NPI number for Jordan Stidham is 1578016184. It was assigned to this individual provider in the NPPES registry on July 31, 2016.

Q: What is Jordan Stidham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Stidham was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 31, 2016PECOS EnrolledAccepts Medicare Assignment

225 SE MAIN ST, MINNEAPOLIS, MN 55414(612) 379-1555 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Kain Stidham O.d. NPPES

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

JORDAN KAIN STIDHAM O.D. (NPI 1578016184) is an individual optometrist in Minneapolis, Minnesota, licensed in Minnesota (3735) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2016).

NPPES Registry Identity

NPI1578016184

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJORDAN KAIN STIDHAMCredential: O.D.

Location Address225 SE MAIN STMinneapolis, MN 55414-2124

Mailing Address740 Main St Ste 100Mendota Heights, MN 55118-3763 · (651) 686-9393

Phone(612) 379-1555

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2016

Enumeration DateJuly 31, 2016

Last NPPES UpdateMay 29, 2024

NPPES CertifiedMay 29, 2024

✔ NPI 1578016184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MN · 3735✔ Licensed in OH · OPT.6498

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

225 SE MAIN ST, Minneapolis, MN 55414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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 Kain Stidham O.d. 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 ID7012374408

PECOS Enrollment IDI20230530002235

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

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55414 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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

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

MICHELLE PENSHORN O.D.

Optometrist

225 SE MAIN ST
MINNEAPOLIS, MN 55414

Hennepin County (612) 379-1555

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 Stidham's NPI number?

The NPI number for Jordan Stidham is 1578016184. It was assigned to this individual provider in the NPPES registry on July 31, 2016.

Where is Jordan Stidham located?

Jordan Stidham practices at 225 SE Main St, Minneapolis, MN 55414. The listed phone number is (612) 379-1555.

What is Jordan Stidham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jordan Stidham enrolled in Medicare?

Yes. Jordan Stidham 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 Stidham accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jordan Stidham 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.

When was this NPI record last updated?

The NPPES record for Jordan Stidham was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.