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DR. JORDAN M USUNOV MD
NPI 1609939099
Ophthalmology in Tracy, CA

Active since December 18, 2006PECOS Enrolled
1540 N TRACY BLVD, A, TRACY, CA 95376(209) 836-2223(209) 836-2530 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan M Usunov Md NPPES

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

DR. JORDAN M USUNOV MD (NPI 1609939099) is an individual ophthalmology provider in Tracy, California, licensed in California (C38780) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609939099
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JORDAN M USUNOVCredential: MD
Location Address1540 N TRACY BLVD, ATracy, CA 95376-2903
Mailing Address1540 N Tracy Blvd, ATracy, CA 95376-2903 · (209) 836-2223 · Fax (209) 836-2530
Phone(209) 836-2223
Fax(209) 836-2530
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1609939099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · C38780
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1540 N TRACY BLVD, Tracy, CA 95376
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Other Identifiers 4

Medicare NSC0806900002CA
Medicare UPINA89065
MedicaidDOC387801CA
Medicare ID-Type UnspecifiedDOC387801CA

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 M Usunov 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 95376 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

JORDAN M USUNOV M D A PROFESSIONAL CORPORATION
Ophthalmology
1540 N TRACY BLVD, A
TRACY, CA 95376
San Joaquin County (209) 836-2223
TAQAVI AND SOROUSHIAN DENTAL CORPORATION
Clinic/Center (Dental)
1540 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (925) 876-4680
DR. SHIRLEY JING YU ZHAO DDS
Dentist
1540 N TRACY BLVD
TRACY, CA 95376
San Joaquin County (415) 810-2302

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 Usunov's NPI number?

The NPI number for Jordan Usunov is 1609939099. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Jordan Usunov located?

Jordan Usunov practices at 1540 N Tracy Blvd A, Tracy, CA 95376. The listed phone number is (209) 836-2223.

What is Jordan Usunov's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jordan Usunov enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Usunov was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.