Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jordan William Wilde , DC

Chiropractor β€’ Gresham, OR

Active NPI 1922370543 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

191 Se Stark Street
Gresham, OR 972338386

Call 5033289300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

191 Se Stark Street

Gresham, OR 972338386

Telephone 5033289300
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Milwaukie Spine And Sport, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Western States College Of Chiropractic

Graduation Year

2011

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Wilde has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Gresham and Oregon

51 active clinicians are listed under Chiropractor with a practice address in Gresham, OR (1,881 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gresham

0% of these 51 clinicians have the CMS telehealth indicator.

17.6% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-13
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES OR 5033

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20201119000931

Enrollment State Jurisdiction

OR

PECOS Control ID

3779994983

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Milwaukie Spine And Sport, Llc

2100 Se Lake Rd, Milwaukie, OR 972227759

Phone: 9714000625

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address October 13, 2020

Registered at 15777 SE RUBY DR, MILWAUKIE, OR 972673703

βœ…
NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 14, 2013

Registered at 191 SE STARK STREET, GRESHAM, OR 972338386 (Tel: 5033289300)

πŸ“
Business Mailing Address (Initial Record) March 14, 2013

Registered at 1040 SW 66TH AVE APT 7210, PORTLAND, OR 972256082

πŸ‘€
Provider Name / Credentials (Initial Record) March 14, 2013

Recorded as JORDAN WILDE, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Chiropractor (license number reported to NPPES: OR 5033)

🟒
Initial NPI Registration & Enumeration January 27, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1922370543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2012
Last Update: October 13, 2020
Sole Proprietor: Yes

Other Chiropractors in Gresham

All Chiropractors in Gresham

Mailing Address

15777 Se Ruby Dr

Milwaukie, OR 972673703

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.