Individual provider Active NPI

Paul Douglas Orange, M.D.

  • Family Medicine Physician
  • Fayetteville, PA
National Provider Identifier
1275522914
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039208L Issued in PA
Practice address
4225 Lincoln Way E
Fayetteville, PA 17222-1051
Phone
(717) 352-3616
Fax
(717) 352-9013
NPI assigned
Oct 16, 2005
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039208L PA Primary

Addresses

Primary practice location

4225 Lincoln Way E
Fayetteville, PA 17222-1051

Mailing address

4225 Lincoln Way E
P.O. Box 608
Fayetteville, PA 17222-1051
Phone (717) 352-3616

Other identifiers 2

IdentifierTypeStateIssuer
P00464067OtherPARAILROAD MEDICARE
0988617MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000438 PA Practitioner - Family Practice 1153454384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Fulton County Medical CenterGroup PAC ID 6406841295, shared by 6 NPIs, 27 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

214 Peach Orchard Rd
MC Connellsburg, PA 17233-8559
Phone 71748531556375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as individual
Quality
90.64
Promoting interoperability
95
Improvement activities
40
Cost
69.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD039208LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center Family Medicine Current Accepting new patients
Fulton County Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Fulton County Medical Center Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Fulton County Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paulorange@fcmcpa.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1275522914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LINCOLN WAY E",
            "address_2": "P.O. BOX 608",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172221051",
            "telephone_number": "717-352-3616",
            "fax_number": "717-352-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LINCOLN WAY E",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172221051",
            "telephone_number": "717-352-3616",
            "fax_number": "717-352-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORANGE",
        "first_name": "PAUL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-16",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039208L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00464067",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0988617",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, PA

Sources for this page

Verify at the official NPI Registry.