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MICHAEL ANDREW JORDAN M.D.
NPI 1861889776
Ophthalmology in Minneapolis, MN

Active since April 17, 2015PECOS Enrolled
825 NICOLLET MALL STE 2000, MINNEAPOLIS, MN 55402(612) 338-4861(612) 333-8306 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2020, May 3, 2019 (2 updates tracked since 2019).

About Michael Andrew Jordan M.d. NPPES

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

MICHAEL ANDREW JORDAN M.D. (NPI 1861889776) is an individual ophthalmology provider in Minneapolis, Minnesota, licensed in Minnesota (65545) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861889776
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL ANDREW JORDANCredential: M.D.
Location Address825 NICOLLET MALL STE 2000Minneapolis, MN 55402-2708
Mailing Address825 Nicollet Mall Ste 2000Minneapolis, MN 55402-2708 · (612) 338-4861
Phone(612) 338-4861
Fax(612) 333-8306
Sole ProprietorNo
Enumeration DateApril 17, 2015
Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1861889776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 65545
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.
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 65545 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
825 NICOLLET MALL STE 2000, Minneapolis, MN 55402
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Secondary Practice Locations 2

Location 1701 Park Ave, Hennepin County Medical Center TY ResidencyMinneapolis, MN 55415-1623 · Phone (701) 367-6181
Location 2420 Delaware Street SE,, MMC 493Minneapolis, MN 55406 · Phone (701) 367-6181

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Andrew Jordan M.d. 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 Michael Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Care Associates PA
Same address
Ophthalmology
825 NICOLLET MALL, SUITE 2000
Minneapolis, MN 55402
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 clinicians in this Medicare group
NPI 1710906979 (612) 338-4861

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 55402 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1861889776. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Michael Jordan located?

Michael Jordan practices at 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402. The listed phone number is (612) 338-4861.

What is Michael Jordan's specialty?

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

Is Michael Jordan enrolled in Medicare?

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

Which organization bills Medicare for Michael Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jordan reassigns Medicare benefits to Eye Care Associates PA (Minneapolis, MN). 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 Michael Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.