Active NPI 1730195694 Individual Practitioner Male Practitioner

Dr. Carl Eric Orr , MD

Surgery • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Carl Orr, MD is a registered healthcare professional specializing in Surgery in La Mesa, CA. Practice services are available at 5565 GROSSMONT CENTER DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5565 Grossmont Center Drive
Building 1 Suite 221

La Mesa, CA 91942

Telephone 6194628100

Fax 6194627933

Associated Practice Facility / Clinic

🏢 Ear Nose And Throat Associates Of San Diego A Medical Corp Facility NPI 1811992761

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in La Mesa, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.6 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

9 Specialists

Practicing in La Mesa, CA (3346 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$314.83	$176.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$344.64	$176.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	20	$124.00	$61.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$338.36	$133.11
47562 Removal of gallbladder using an endoscope	11	11	$1496.53	$667.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$228.00	$118.80
49650 Repair of groin hernia using an endoscope	11	11	$1202.55	$459.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$314.83	$179.33
49650 Repair of groin hernia using an endoscope	22	22	$1150.00	$459.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$124.00	$61.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$147.33	$81.80
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	14	$110.00	$26.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$305.00	$190.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$351.00	$134.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$434.00	$233.78
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1551.72	$734.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$300.00	$206.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$226.74	$139.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$124.00	$62.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$124.00	$61.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$305.38	$204.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$226.74	$140.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$344.64	$180.34
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$153.04	$99.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$140.00	$75.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$110.00	$25.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	47	$304.30	$212.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$226.82	$116.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$124.00	$48.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$434.00	$220.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	13	$148.00	$76.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$344.71	$175.70
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$153.47	$80.82
36830 Connection of tube graft to vein and artery for dialysis	13	11	$1744.08	$613.82
49650 Repair of groin hernia using an endoscope	11	11	$1200.00	$478.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	41	$124.00	$47.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	30	$85.09	$40.28
99221 Initial hospital inpatient care per day, typically 30 minutes	54	52	$188.83	$103.17
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$104.00	$80.54
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$154.00	$78.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$227.00	$114.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$345.00	$171.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$262.32	$140.14
49650 Repair of groin hernia using an endoscope	17	17	$1164.71	$415.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$228.00	$106.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$173.00	$74.62
36830 Connection of tube graft to vein and artery for dialysis	14	13	$1650.00	$671.71
36825 Connection of donor vein to an artery and vein for dialysis	13	13	$1700.00	$801.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$496.17	$207.43
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2303.64	$730.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	42	$81.19	$38.66
99221 Initial hospital inpatient care per day, typically 30 minutes	52	51	$182.98	$98.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	24	$124.00	$45.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$247.68	$136.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$228.00	$110.07
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$104.00	$75.99
36830 Connection of tube graft to vein and artery for dialysis	16	16	$1650.00	$637.31
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$154.00	$74.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2148.46	$647.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$227.00	$110.53
49505 Repair of groin hernia (5 years or older)	11	11	$1077.18	$541.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$436.18	$189.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	33	$83.05	$37.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	29	$119.23	$43.26
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$188.83	$97.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$232.67	$131.46
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$112.12	$73.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$226.77	$106.10
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$153.84	$72.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$338.75	$160.85
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2291.00	$682.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$224.82	$106.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G58899

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G588990 (CA)

Commercial Insurance / Payer ID Medicare Railroad Group

DA3229

Commercial Insurance / Payer ID Blue Shield

ZZZ43506Z (CA)

Commercial Insurance / Payer ID Medi-Cal

00G588990

Commercial Insurance / Payer ID Medi-Cal Group Number

GR0059320 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Hong-Der Lin , MD

Surgery

NPI 1174539035

Doctor of Medicine (M.D.)

Dr. Helen Sohn , MD

Surgery

NPI 1528096955

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942 (Tel: 6194628100)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5565 GROSSMONT CENTER DRIVE, BUILDING 1 SUITE 221, LA MESA, CA 91942 (Tel: 6194628100)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CARL ORR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #G58899 in CA)

🟢

Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730195694

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5565 Grossmont Center Drive, Building 1 Suite 221

La Mesa, CA 91942

Phone: 6194628100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.