JORDAN JAMES ALLENSWORTH
NPI 1912347675
Otolaryngology in Vancouver, WA

Q: What is Jordan Allensworth's NPI number?

The NPI number for Jordan Allensworth is 1912347675. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Q: What is Jordan Allensworth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment

417 SE 164TH AVE STE 300, VANCOUVER, WA 98684(360) 256-4425(360) 256-2474 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jordan James Allensworth NPPES

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

JORDAN JAMES ALLENSWORTH (NPI 1912347675) is an individual otolaryngology provider in Vancouver, Washington, licensed in Washington (MD61144936) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912347675

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJORDAN JAMES ALLENSWORTH

Location Address417 SE 164TH AVE STE 300Vancouver, WA 98684-8944

Mailing Address3181 Sw Sam Jackson Park Rd, OhsuPortland, OR 97239-3011 · (503) 494-8220

Phone(360) 256-4425

Fax(360) 256-2474

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2016

Enumeration DateJune 26, 2013

Last NPPES UpdateJuly 16, 2021

NPPES CertifiedJuly 16, 2021

✔ NPI 1912347675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in WA · MD61144936

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

417 SE 164TH AVE STE 300, Vancouver, WA 98684

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Secondary Practice Locations 3

Location 11801 1st Ave Ste 3ALongview, WA 98632-3271 · Phone (360) 636-4469 · Fax (360) 425-4970

Location 214411 NE 20th Ave Ste 101Vancouver, WA 98686-6432 · Phone (360) 256-4425 · Fax (360) 256-2474

Location 33181 SW Sam Jackson Park Rd, OHSUPortland, OR 97239-3011 · Phone (503) 494-8220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 James Allensworth 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 ID9739460700

PECOS Enrollment IDI20210802000651

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 Allensworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peacehealth

3.9 mi

Surgery

505 NE 87TH AVE, SUITE 301
Vancouver, WA 98664

Reassigned Medicare billing, Washington enrollment
307 clinicians in this Medicare group

NPI 1609061969 (360) 514-7374

Peacehealth

41 mi

Multi-Specialty

1615 DELAWARE ST
Longview, WA 98632

Reassigned Medicare billing, Washington enrollment
308 clinicians in this Medicare group

NPI 1720056187 (360) 414-2000

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 11

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

361 services13 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.

194 services135 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

188 services15 patients

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.

149 services149 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

78 services65 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

68 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 5

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

DR. GREGORY BRIAN SCOTT DO

Family Medicine