KURTIS K MOTSCHENBACHER (PA-C) – Physician Assistant, NPI 1225064868

KURTIS K MOTSCHENBACHER (PA-C) is a healthcare provider. based in Canyon, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PAC0474 (ND). The NPI Number for KURTIS K MOTSCHENBACHER (PA-C) is 1225064868

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KURTIS K MOTSCHENBACHER (PA-C)
NPI
1225064868
Phone
(806) 655-2104
Address
911 23rd St
Enumeration Date
24 June 2006
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187868364
Graduation Year
1999 (27 years ago)
PAC ID
8527033182
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20040827000928
Address ID
MN558051901DU420XXSTXX400
Telehealth
Yes
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

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KURTIS K MOTSCHENBACHER (PA-C)

  • 911 23rd St

    Canyon, TX 790154645

    Phone: (806) 655-2104

    Fax: (806) 655-0522

    Type: Location

  • The Box, Fargo Village, Lower Stoke, Coventry, West Midlands Combined Authority, West Midlands, England, CV1 5ED, United Kingdom

    FARGO, ND 581086001

    Phone: (701) 364-8000

    Fax: (701) 364-8078

    Type: Mailing

  • Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Fax: (218) 847-0881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-12-10

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
I20040827000928IPhysician AssistantMNTBD
I20070801000165IPhysician AssistantTXTBD
I20121210000085IPhysician AssistantNDTBD

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 minutes6159$0
99212Established patient office or other outpatient visit, 10-19 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 79015)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What is KURTIS K MOTSCHENBACHER (PA-C)'s NPI number?
KURTIS K MOTSCHENBACHER (PA-C)'s NPI is 1225064868 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KURTIS K MOTSCHENBACHER (PA-C)?
For scheduling context, KURTIS K MOTSCHENBACHER (PA-C) is shown as active in the registry.
What clinical focus is listed for KURTIS K MOTSCHENBACHER (PA-C)?
At a glance, KURTIS K MOTSCHENBACHER (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KURTIS K MOTSCHENBACHER (PA-C) located near Canyon?
KURTIS K MOTSCHENBACHER (PA-C) currently maps to Canyon, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.