DR. ERIC MAITLAND DVORAK (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1003986845
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PHYSICAL MEDICINE AND REHABILITATION in WI
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Provider Addresses for DR. ERIC MAITLAND DVORAK (M.D.)
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
GREEN BAY, WI 543052340
Phone: (920) 445-7210
Fax: (920) 445-7289
Type: Mailing
Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States
GREEN BAY, WI 543052487
Phone: (920) 445-7210
Fax: (920) 445-7229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $809.
Total Amount is formed as General ($809) + Research ($0) + Ownership ($0) = $809.
Last reported payment date: 2024-03-11 • Largest payer in this snapshot: Arthrex, Inc. ($385).
Total Amount
$809
General + Research + Ownership
Payments
19
Total payment records
General Amount
$809
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $385 |
| Ipsen Biopharmaceuticals, Inc | $191 |
| ABBVIE INC. | $126 |
| Merz Pharmaceuticals, LLC | $38 |
| Teva Pharmaceuticals USA, Inc. | $27 |
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: 2009-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090603000198 | I | Physical Medicine And Rehabilitation | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 39,569 | 48 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 284 | 80 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 128 | 86 | $0 |
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 115 | 41 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 82 | 69 | $0 |
Insurance plans in this area (ZIP 54305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physical Therapist In Private Practice | WI |
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