TOU SHOUA JOHN LOR (MD) – Family Medicine Physician, NPI 1104184076

TOU SHOUA JOHN LOR (MD) is a healthcare provider. based in Kronenwetter, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 62537 (WI). The NPI Number for TOU SHOUA JOHN LOR (MD) is 1104184076

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TOU SHOUA JOHN LOR (MD)
NPI
1104184076
Phone
(715) 355-4040
Address
1881 COUNTY ROAD XX
Enumeration Date
30 April 2012
Last Update Date
20 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152415400
Graduation Year
2012 (14 years ago)
PAC ID
0749597615
Group Practice PAC ID
1052223625
Professional Enrollment ID
I20150910000980
Address ID
WI544764139WE4005XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

Provider Addresses for TOU SHOUA JOHN LOR (MD)

  • 1881 COUNTY ROAD XX

    KRONENWETTER, WI 544557933

    Phone: (715) 355-4040

    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)

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: 2015-09-10

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
I20150910000980IFamily PracticeWITBD

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
36415Insertion of needle into vein for collection of blood sample313187$0
80053Blood test, comprehensive group of blood chemicals234173$0
99213Established patient office or other outpatient visit, 20-29 minutes189140$0
99214Established patient office or other outpatient visit, 30-39 minutes189138$0
83036Hemoglobin a1c level151116$0
View full utilization report →

Insurance plans in this area (ZIP 54455)

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Provider's Procedures

TOU SHOUA JOHN LOR (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI83036Hemoglobin A1C level1614

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: 1052223625View full group profile
NameSpecialtyState
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerIL
Nurse PractitionerWI
-NC
-WI
N E U R O L O G YIL
-PA
-WI
-WI

Reviews

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Frequently asked questions

How is TOU SHOUA JOHN LOR (MD) identified in CMS data?
CMS-hosted NPPES data lists TOU SHOUA JOHN LOR (MD) with NPI 1104184076.
Is TOU SHOUA JOHN LOR (MD) still practicing?
TOU SHOUA JOHN LOR (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes TOU SHOUA JOHN LOR (MD)?
For research purposes, treat TOU SHOUA JOHN LOR (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is TOU SHOUA JOHN LOR (MD) based?
TOU SHOUA JOHN LOR (MD) is tied to Kronenwetter, Wisconsin in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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