DAVID ORR (PA-C) – Physician Assistant, NPI 1104338102

DAVID ORR (PA-C) is a healthcare provider. based in Kaukauna, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4238-23 (WI). The NPI Number for DAVID ORR (PA-C) is 1104338102

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DAVID ORR (PA-C)
NPI
1104338102
Phone
Not provided
Address
148 LAMP LIGHTER DR APT 10
Enumeration Date
30 October 2017
Last Update Date
30 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209650345
Graduation Year
2017 (9 years ago)
PAC ID
0648538553
Group Practice PAC ID
9537312665
Professional Enrollment ID
I20180426000343
Address ID
WI543118303GR3059XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

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Provider Addresses for DAVID ORR (PA-C)

  • 148 LAMP LIGHTER DR APT 10

    KAUKAUNA, WI 541309581

    Phone:

    Type: Mailing

  • 141, Siegler Street, Green Bay, Brown County, Wisconsin, 54303, United States

    GREEN BAY, WI 543032635

    Phone: (920) 965-0345

    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: 2018-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171226001789IPhysician AssistantWITBD
I20180426000343IPhysician AssistantMITBD

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
17003Destruction of precancer skin growth, 2-14 growths53781$0
99213Established patient office or other outpatient visit, 20-29 minutes338198$0
17000Destruction of precancer skin growth, 1 growth144104$0
11102Biopsy of related skin growth, first growth112102$0
17110Destruction of skin growth, 1-14 growths9177$0
View full utilization report →

Insurance plans in this area (ZIP 54130)

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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: 9537312665View full group profile
NameSpecialtyState
Physician AssistantWI
-WI
Physician AssistantWI
Physician AssistantWI
Physician AssistantWI
Physician AssistantMI
Physician AssistantWI
Physician AssistantWI
Physician AssistantWI
Dermatology, Micrographic Dermatologic Surgery (Mds)WI

Reviews

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Frequently asked questions

Does DAVID ORR (PA-C) have a public NPI I can cite?
Public records show DAVID ORR (PA-C) under NPI 1104338102.
Is DAVID ORR (PA-C)'s NPI status active today?
Active status means DAVID ORR (PA-C)'s NPI record is not deactivated in the public file.
What services align with DAVID ORR (PA-C)'s listing?
DAVID ORR (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is DAVID ORR (PA-C) tied to Kaukauna, Wisconsin?
If you are local to Kaukauna, Wisconsin, DAVID ORR (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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