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JORDAN EDWARD KACZOR MD
NPI 1740843846
Student in an Organized Health Care Education/Training Program in Duluth, MN

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
330 N 8TH AVE E, DULUTH, MN 55805(218) 723-1112 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2019, Apr 16, 2019 (2 updates tracked since 2019).

About Jordan Edward Kaczor Md NPPES

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

JORDAN EDWARD KACZOR MD (NPI 1740843846) is an individual student in an organized health care education/training program in Duluth, Minnesota and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2019).

NPPES Registry Identity

NPI1740843846
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN EDWARD KACZORCredential: MD
Location Address330 N 8TH AVE EDuluth, MN 55805-2024
Mailing Address400 E 3rd St, Mss 6av1-peDuluth, MN 55805-1951 · (218) 786-3146
Phone(218) 723-1112
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateNovember 7, 20192 updates tracked since enumeration
✔ NPI 1740843846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 N 8TH AVE E, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Edward Kaczor 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 ID7113351081
PECOS Enrollment IDI20220712001281
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 6

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost75

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.

DR. KYLIE ELIZABETH KRAFT MD
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 529-9122
DR. JOHN E WOOD M.D.
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 723-1112
DR. JENNIFER LYNN JONES M.D.
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (221) 872-3111
DR. JOSEPH CHRISTOPHER METZGER JR. MD
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 529-9122
DR. GRAHAM SCOTT HEGSTAD MD
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 723-1112
ERIN STEINKE MD
Student in an Organized Health Care Education/Training Program
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 529-9122
DR. RACHEL MARIE WILCOX MD
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 529-9103
DR. JACQUELINE KAY WILLE MD
Family Medicine
330 N 8TH AVE E
DULUTH, MN 55805
St. Louis County (218) 723-1112

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 Kaczor's NPI number?

The NPI number for Jordan Kaczor is 1740843846. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Jordan Kaczor located?

Jordan Kaczor practices at 330 N 8th Ave E, Duluth, MN 55805. The listed phone number is (218) 723-1112.

What is Jordan Kaczor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Kaczor enrolled in Medicare?

Yes. Jordan Kaczor 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 Kaczor accept?

Health plans from Medica list Jordan Kaczor 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.

Is Jordan Kaczor affiliated with any hospitals?

According to CMS data, Jordan Kaczor is affiliated with University Medical Center-Mesabi/ Mesaba Clinics and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Kaczor was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.