DAN LOREN WEBER (PA-C) – Physician Assistant, NPI 1962438812

DAN LOREN WEBER (PA-C) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-213 (ID). The NPI Number for DAN LOREN WEBER (PA-C) is 1962438812

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAN LOREN WEBER (PA-C)
NPI
1962438812
Phone
(208) 656-9646
Address
256 N 2ND E
Enumeration Date
23 June 2006
Last Update Date
11 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
6800791823
Group Practice PAC ID
5092949594
Professional Enrollment ID
I20040525001703
Address ID
ID834401638RE256XX2NDX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

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Provider Addresses for DAN LOREN WEBER (PA-C)

  • 256, North 2nd East, Rexburg, Madison County, Idaho, 83440, United States

    REXBURG, ID 834401638

    Phone: (208) 656-9646

    Fax: (208) 656-9646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Medtronic, Inc. ($32).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040525001703IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10470$0
31575Diagnostic exam of voice box using a flexible endoscope2119$0
69210Removal of impacted ear wax2017$0
96372Injection of drug or substance under skin or into muscle1311$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Provider's Procedures

DAN LOREN WEBER (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTID95117Injection of incremental dosages of allergen, 2 or more injections36811

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092949594View full group profile
NameSpecialtyState
Otolaryngology, Allergy/ImmunologyID
Allergy/Immunology, OtolaryngologyID

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAN LOREN WEBER (PA-C)?
DAN LOREN WEBER (PA-C) — NPI 1962438812 — is the standard way to identify this listing.
Is DAN LOREN WEBER (PA-C) listed as active for patients and plans?
The listing shows DAN LOREN WEBER (PA-C) as active in the NPI system.
What is DAN LOREN WEBER (PA-C)'s specialty?
The listing groups DAN LOREN WEBER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for DAN LOREN WEBER (PA-C)?
DAN LOREN WEBER (PA-C)'s geographic hint is Rexburg, Idaho in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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