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DR. JORDAN LEE WALLIN M.D.
NPI 1811177652
Otolaryngology - Otolaryngology/Facial Plastic Surgery in St George, UT

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment
446 S MALL DR STE B1, ST GEORGE, UT 84790(435) 627-8150(435) 580-4028 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, Oct 23, 2019, Oct 15, 2019 (3 updates tracked since 2019).

About Dr. Jordan Lee Wallin M.d. NPPES

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

DR. JORDAN LEE WALLIN M.D. (NPI 1811177652) is an individual otolaryngology/facial plastic surgery provider in St George, Utah, licensed in Utah (11043029-1205) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1811177652
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. JORDAN LEE WALLINCredential: M.D.
Location Address446 S MALL DR STE B1St George, UT 84790-4945
Mailing Address446 S Mall Dr Ste B1St George, UT 84790-4945 · (435) 627-8150 · Fax (435) 580-4028
Phone(435) 627-8150
Fax(435) 580-4028
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2017
Enumeration DateNovember 9, 2007
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1811177652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in UT · 11043029-1205
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
446 S MALL DR STE B1, St George, UT 84790
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Select Health, University of Utah Health Plans.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

Dr. Jordan Lee Wallin M.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 ID8729235999
PECOS Enrollment IDI20190723003845
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 Reassignment

Medicare enrollment records show Jordan Wallin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Desert Bloom Plastic Surgery LLC
Same address
Medical Specialty
446 S MALL DR STE 1
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
NPI 1235691510 (435) 627-8150

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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services11 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

DR. ANTHONY FRANKLYN COLON M.D.
Surgery (Plastic and Reconstructive Surgery)
446 S MALL DR STE B1
ST GEORGE, UT 84790
Washington County (435) 627-8150

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 Wallin's NPI number?

The NPI number for Jordan Wallin is 1811177652. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Jordan Wallin located?

Jordan Wallin practices at 446 S Mall Dr Ste B1, St George, UT 84790. The listed phone number is (435) 627-8150.

What is Jordan Wallin's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Jordan Wallin enrolled in Medicare?

Yes. Jordan Wallin 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.

Which organization bills Medicare for Jordan Wallin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Wallin reassigns Medicare benefits to Desert Bloom Plastic Surgery LLC (St George, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Wallin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Wallin accept?

Health plans from Cigna Healthcare, Select Health and University of Utah Health Plans list Jordan Wallin 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 Wallin affiliated with any hospitals?

According to CMS data, Jordan Wallin is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Wallin was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.