RICHARD MONTGOMERY JORDAN MD
NPI 1821075508
Radiology - Vascular & Interventional Radiology in Gastonia, NC

Q: What is Richard Jordan's NPI number?

The NPI number for Richard Jordan is 1821075508. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Richard Jordan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Richard Jordan was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 23, 2005PECOS Enrolled

620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054(704) 867-8021(704) 864-4606 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Richard Montgomery Jordan Md NPPES

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

RICHARD MONTGOMERY JORDAN MD (NPI 1821075508) is an individual vascular & interventional radiology provider in Gastonia, North Carolina, licensed in North Carolina (30923) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821075508

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameRICHARD MONTGOMERY JORDANCredential: MD

Location Address620 SUMMIT CROSSING PL, SUITE 106Gastonia, NC 28054-2176

Mailing Address620 Summit Crossing Pl, Suite 106Gastonia, NC 28054-2176 · (704) 867-8021 · Fax (704) 864-4606

Phone(704) 867-8021

Fax(704) 864-4606

Sole ProprietorNo

Enumeration DateDecember 23, 2005

Last NPPES UpdateAugust 23, 2010

✔ NPI 1821075508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in NC · 30923

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 30923 (NC)

620 SUMMIT CROSSING PL, Gastonia, NC 28054

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Other Identifiers 11

Other47484Blue Cross Blue Shield

MedicaidN30923SC

Medicare ID-Type Unspecified213411

Other1642994United Healthcare

Other6677Partners

Other2137652Aetna Hmo

Other300068233Railroad Medicare

Medicaid8947484NC

Other72386Medcost

Medicare UPIND92854

Other4629496Aetna Ppo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Montgomery Jordan 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.

Medicare Billing Reassignment

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

Gaston Radiology PA

Same address

Diagnostic Radiology

620 SUMMIT CROSSING PL, STE 106
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
29 clinicians in this Medicare group

NPI 1356324487 (704) 867-8021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

96%367 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%22 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

ALICIA MCQUAIN MPT

Physical Therapist

620 SUMMIT CROSSING PL, STE 305
GASTONIA, NC 28054

Gaston County (704) 865-0077

MARK THOMAS EDGE PHD MD

Radiology (Diagnostic Radiology)