MR. RANDY L ORSBORN (PAC) – Physician Assistant, NPI 1588609440

MR. RANDY L ORSBORN (PAC) is a healthcare provider. based in Greenville, Ohio. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. 50001642 (OH). The NPI Number for MR. RANDY L ORSBORN (PAC) is 1588609440

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDY L ORSBORN (PAC)
NPI
1588609440
Phone
(937) 548-1141
Address
835 Sweitzer St
Enumeration Date
17 June 2006
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
0244123578
Group Practice PAC ID
1153301833
Professional Enrollment ID
I20040202001166
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MR. RANDY L ORSBORN (PAC)

  • 835 Sweitzer St

    Greenville, OH 453311007

    Phone: (937) 548-1141

    Type: Location

  • 4950 Buffalo Rd

    Erie, PA 165102304

    Phone: (814) 898-2576

    Fax: (814) 899-8790

    Type: Location

  • 4247 W Ridge Rd Ste 101

    Erie, PA 165061746

    Phone: (814) 835-2580

    Fax: (814) 835-2590

    Type: Location

  • 1490 COSHOCTON AVE

    STE B

    MOUNT VERNON, OH 430506099

    Phone: (740) 393-9111

    Fax: (740) 399-3161

    Type: Location

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 430501440

    Phone: (740) 393-9111

    Fax: (740) 399-3161

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Solventum Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Solventum Corporation$18
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: 2024-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040202001166IPhysician AssistantOHTBD
I20240725002284IPhysician AssistantPATBD
I20241023003245IPhysician AssistantWVTBD

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 minutes263230$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
99212Established patient office or other outpatient visit, 10-19 minutes2525$0
11042Removal of skin and tissue, 20.0 sq cm or less1914$0
View full utilization report →

Insurance plans in this area (ZIP 45331)

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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: 1153301833View full group profile
NameSpecialtyState
-OH
P O D I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Family PracticeOH
Family Practice, Obstetrics/GynecologyOH
-OH
-OH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

How do payers reference MR. RANDY L ORSBORN (PAC)?
For MR. RANDY L ORSBORN (PAC), use NPI 1588609440 as the unique 10-digit identifier.
Is MR. RANDY L ORSBORN (PAC) still an active registrant?
MR. RANDY L ORSBORN (PAC) carries an active NPI according to the public dataset.
How would a patient describe MR. RANDY L ORSBORN (PAC)'s focus?
For MR. RANDY L ORSBORN (PAC), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RANDY L ORSBORN (PAC)?
Directory geography for MR. RANDY L ORSBORN (PAC) centers on Greenville, Ohio.
Does MR. RANDY L ORSBORN (PAC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.