ORA ORTHOPEDICS, PC – Orthopaedic Surgery Physician, NPI 1861035503

ORA ORTHOPEDICS, PC is a healthcare provider. based in Clinton, Iowa. specializing in Orthopaedic Surgery Physician. The NPI Number for ORA ORTHOPEDICS, PC is 1861035503

Main info

Organization
Name
ORA ORTHOPEDICS, PC
NPI
1861035503
Phone
(563) 322-0971
Address
2900 S 25TH ST STE B2
Authorized Official
KENNETH BROCKMAN CEO
Enumeration Date
25 October 2019
Last Update Date
3 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for ORA ORTHOPEDICS, PC

  • South 25th Street, Clinton, Custer County, Oklahoma, 73601, United States

    CLINTON, IA 527327250

    Phone: (563) 322-0971

    Fax: (563) 324-0615

    Type: Location

  • 53rd Avenue, Bettendorf, Scott County, Iowa, 528722, United States

    BETTENDORF, IA 527227565

    Phone: (563) 322-0971

    Type: Mailing

  • 5250 COMPETITION DRIVE

    BETTENDORF, IA 527228837

    Phone: (563) 322-0971

    Type: Mailing

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: 2020-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (21 days away).

Enrollment records

1

Earliest due date

2026-06-30

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
O20200424002655OMulti-Specialty - PhysicianIA2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52732)

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Reviews

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Frequently asked questions

What is ORA ORTHOPEDICS, PC's NPI number?
ORA ORTHOPEDICS, PC's NPI is 1861035503 — the number used across U.S. healthcare to identify this provider.
Would ORA ORTHOPEDICS, PC appear as active to a payer?
You can treat ORA ORTHOPEDICS, PC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ORA ORTHOPEDICS, PC's focus?
For ORA ORTHOPEDICS, PC, the primary taxonomy reads as Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ORA ORTHOPEDICS, PC located near Clinton?
ORA ORTHOPEDICS, PC currently maps to Clinton, Iowa in this extract.
Can I trust this NPI listing for ORA ORTHOPEDICS, PC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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