DR. WAYNE SHANNON III ORR (M.D.) – Surgical Oncology Physician, NPI 1013132406

DR. WAYNE SHANNON III ORR (M.D.) is a healthcare provider. based in Jackson, Mississippi. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. P6488 (TX). The NPI Number for DR. WAYNE SHANNON III ORR (M.D.) is 1013132406

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE SHANNON III ORR (M.D.)
NPI
1013132406
Phone
(601) 984-5452
Address
2500 N STATE ST
Enumeration Date
13 April 2007
Last Update Date
29 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
6018154775
Graduation Year
2006 (20 years ago)
PAC ID
1355525627
Group Practice PAC ID
1850293036
Professional Enrollment ID
I20110411000636
Address ID
MS392164500JA2500XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

246 GENERAL SURGERY in MS

Provider Addresses for DR. WAYNE SHANNON III ORR (M.D.)

  • 2500 N STATE ST

    JACKSON, MS 392164500

    Phone: (601) 984-5452

    Fax: (601) 815-3322

    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 12 Open Payments records for all available years, with a total value of $1,071.

Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($308).

Total Amount

$1,071

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,071

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-04-11

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
I20110411000636IGeneral SurgeryMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes146113$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6823$0
99215Established patient office or other outpatient visit, 40-54 minutes5652$0
99205New patient office or other outpatient visit, 60-74 minutes5050$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 39216)

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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: 1850293036View full group profile
NameSpecialtyState
Neurology, Pediatric MedicineLA
Emergency MedicineMS
N E U R O S U R G E R YFL
Certified Registered Nurse Anesthetist (Crna)MS
-MS
-MS
Diagnostic RadiologyIN
Geriatric MedicineMS
-MS
Internal MedicineMI

Reviews

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Frequently asked questions

What number should I use to identify DR. WAYNE SHANNON III ORR (M.D.) for billing?
Administrative and clinical systems typically use NPI 1013132406 for DR. WAYNE SHANNON III ORR (M.D.).
Is DR. WAYNE SHANNON III ORR (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. WAYNE SHANNON III ORR (M.D.) as active.
What does the directory say DR. WAYNE SHANNON III ORR (M.D.) does?
Insurance directories may phrase it differently, but here DR. WAYNE SHANNON III ORR (M.D.) maps to Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. WAYNE SHANNON III ORR (M.D.) tied to Jackson, Mississippi?
If you are local to Jackson, Mississippi, DR. WAYNE SHANNON III ORR (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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