Individual provider Active NPI

Mark Allen Jordan, MD

  • Orthopaedic Surgery Physician
  • Stevens Point, WI
National Provider Identifier
1568801025
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
70102 Issued in WI
Practice address
500 Vincent St
Stevens Point, WI 54481-1842
Phone
(715) 997-9813
Fax
(715) 344-4494
NPI assigned
Jun 18, 2013
Last updated
May 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 70102 WI Primary
Orthopaedic Surgery Physician 207X00000X 036144643 IL

Addresses

Primary practice location

500 Vincent St
Stevens Point, WI 54481-1842

Mailing address

500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 997-9813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180327002328 IL Practitioner - Orthopedic Surgery 0941439707 Reassigns benefits to 1 organization
I20181218003922 WI Practitioner - Orthopedic Surgery 0941439707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Vincent St
Stevens Point, WI 54481-1842
Phone (715) 344-0701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.57 of 100Reported as group
Quality
77.2
Promoting interoperability
59
Improvement activities
40
Cost
88.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
70102WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery Current Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 6, 2018 Accepting new patients
Endeavor Health Medical Group Orthopaedic Surgery Current Accepting new patients
Orthopaedic Centers of Wisconsin S C Orthopaedic Surgery CurrentSince Jan 12, 2022 Accepting new patients
Orthopaedic Centers of Wisconsin S C CurrentSince Jan 12, 2022 Accepting new patients
Klasinski Neurocare, SC PastSince Oct 1, 2010 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Rm 1223
Evanston, IL 60201
Phone (847) 570-1644

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

9600 Gross Point Rd
Ste 2900
Skokie, IL 60076

500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920

500 Vincent St
Ste B
Stevens Point, WI 54481
Phone (715) 344-0702

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 907-0900

Interoperability endpoints

  • Direct secure messaging: mark.jordan@direct.dcmedical.org
  • Direct secure messaging: mark.jordan@spo.directbygreenway.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1568801025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-997-9813",
            "fax_number": "866-954-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-997-9813",
            "fax_number": "715-344-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2022-05-11",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "70102",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036144643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.