JORDAN DAVIS MD
NPI 1629515697
Radiology - Diagnostic Radiology in Fort Meade, SD

Q: What is Jordan Davis's NPI number?

The NPI number for Jordan Davis is 1629515697. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Q: What is Jordan Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Davis was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment

113 COMANCHE RD, FORT MEADE, SD 57741(999) 999-9999 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Jul 10, 2023, Jul 7, 2022 and 5 more (8 updates tracked since 2017).

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About Jordan Davis Md NPPES

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

JORDAN DAVIS MD (NPI 1629515697) is an individual diagnostic radiology provider in Fort Meade, South Dakota, licensed in Nebraska (31213) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629515697

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJORDAN DAVISCredential: MD

Location Address113 COMANCHE RDFort Meade, SD 57741-1002

Mailing Address113 Comanche RdFort Meade, SD 57741-1002

Phone(999) 999-9999

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 27, 2017

Last NPPES UpdateAugust 17, 20268 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1629515697 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 NE · 31213

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 31213 (NE)

113 COMANCHE RD, Fort Meade, SD 57741

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Davis Md 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 ID3870960651

PECOS Enrollment IDI20221108001640, I20240205001209

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.

Medicare Billing Reassignments

Medicare enrollment records show Jordan Davis reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smi Imaging LLC

319 mi

Diagnostic Radiology

12520 GRANT DR STE 200
Thornton, CO 80241

Reassigned Medicare billing, Colorado enrollment
23 clinicians in this Medicare group

NPI 1598301533 (303) 252-4363

Mountain Medical Physician Specialists PC

502 mi

Diagnostic Radiology

5334 S WOODROW ST STE 100
Murray, UT 84107

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1720035520 (801) 713-0600

Aspirus Ironwood Hospital & Clinics, Inc.

660 mi

Rural Health

501 GRANITE ST
Hurley, WI 54534

Reassigned Medicare billing, Michigan enrollment
244 clinicians in this Medicare group

NPI 1154434249 (715) 561-2255

Aspirus Ironwood Hospital & Clinics, Inc.

661 mi

Ophthalmology

E6112 E BLUFFVIEW RD, SUITE 102
Ironwood, MI 49938

Reassigned Medicare billing, Michigan enrollment
264 clinicians in this Medicare group

NPI 1609034099 (906) 932-1436

Aspirus Medical Group, Inc.

680 mi

Cardiovascular Disease

500 WIND RIDGE DR
Wausau, WI 54401

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Aspirus Iron River Hospital & Clinics Inc
Also billed through NPI 1457865198 (Michigan)
200 clinicians in this Medicare group

NPI 1033411822 (715) 847-2611

Integris Ambulatory Care Corporation

682 mi

Family Medicine

3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134

Reassigned Medicare billing, Colorado enrollment
4 clinicians in this Medicare group

NPI 1750333936 (405) 951-2298

Aspirus Keweenaw

706 mi

Clinic/Center

730 S 7TH ST
Ontonagon, MI 49953

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1023161932 (Michigan)
210 clinicians in this Medicare group

NPI 1740046481 (906) 884-8112

Northern Arizona Radiology P C

769 mi

Diagnostic Radiology

77 W FOREST AVENUE, SUITE 101
Flagstaff, AZ 86001

Reassigned Medicare billing, Colorado enrollment
3 clinicians in this Medicare group

NPI 1275588659 (928) 773-2515

Texas Radiology Associates LLP

864 mi

Diagnostic Radiology

1820 PRESTON PARK BLVD STE 2400
Plano, TX 75093

Reassigned Medicare billing, Colorado enrollment
4 clinicians in this Medicare group

NPI 1427016161 (972) 867-7862

Utmb Faculty Group Practice

1,146 mi

General Practice

301 UNIVERSITY BLVD
Galveston, TX 77555

Reassigned Medicare billing, Texas enrollment
2,222 clinicians in this Medicare group

NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

184 services170 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

125 services124 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

87 services85 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

44 services44 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

39 services38 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

37 services36 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

37 services36 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

35 services34 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

32 services32 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

27 services27 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

18 services18 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

15 services15 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

15 services13 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

15 services14 patients

3d radiographic procedure with computerized image postprocessing 76377

A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.

13 services13 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

12 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

12 services12 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460041

Location1600 West Antelope DriveLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460051

Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57741 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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 20

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

DREW MOSS MD

Family Medicine