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Active NPI 1023464609 Individual Practitioner Male Practitioner

Dr. Jordan Smith , DO

Surgery • Moses Lake, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Smith, DO is a certified Surgery practicing in Moses Lake, WA. With approximately 10 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2016, Dr. Smith delivers high-quality medical care to the local community at 1550 S PIONEER WAY.

Dr. Smith is affiliated with Grant County Public Hospital District 1 and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1550 S Pioneer Way

Moses Lake, WA 988374613

Telephone 5097939792
Fax 5097643287
Associated Practice Facility / Clinic
🏢 Samaritan Inland Mri Llc Facility NPI 1376504803

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Moses Lake, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -6.4 yrs vs City Avg
City Avg: 16.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Moses Lake, WA (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (10 Years) 10 Yrs
Moses Lake Specialty Average (16.4 Years) 16.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
15 14 $404.00 $130.60

Medical Specialties & State Licenses

CMS Verified: 2026-05-04
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA OP61146174

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2181923 (WA)

Hospital & Practice Group Affiliations

Grant County Public Hospital District 1

1550 S Pioneer Way, Moses Lake, WA 988374613

Phone: 5097939780

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1477110419

Doctor of Osteopathic Medicine (D.O.)

NPI 1487031753

Doctor of Osteopathic Medicine (D.O.)

NPI 1922567205

Doctor of Medicine (M.D.)

NPI 1952325474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address May 04, 2026

Registered at 1616 S PIONEER WAY, MOSES LAKE, WA 988372487 (Tel: 5097939715)

📍
Updated Practice Location August 04, 2021

Registered at 1550 S PIONEER WAY, MOSES LAKE, WA 988374613 (Tel: 5097939792)

📍
Updated Business Mailing Address August 04, 2021

Registered at 660 S COOLIDGE ST, MOSES LAKE, WA 988371872 (Tel: 5097939715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Surgery (License #OP61146174 in WA)

NPI Profile Active May 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2016

Registered at 1301 S CRISMON RD, MESA, AZ 852093767 (Tel: 4803732370)

📍
Updated Business Mailing Address May 12, 2016

Registered at 1301 S CRISMON RD, MESA, AZ 852093767 (Tel: 4803732370)

👤
Provider Name / Credentials Updated May 12, 2016

Recorded as JORDAN SMITH, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023464609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2016
Last Update: May 04, 2026
Sole Proprietor: No

Mailing Address

1616 S Pioneer Way

Moses Lake, WA 988372487

Phone: 5097939715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.