Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DAVID R RENNER PAC
NPI 1659335453
Physician Assistant in Fountain Hill, PA

Active since April 17, 2006PECOS Enrolled
95.64/100
CMS Quality Rating
800 OSTRUM ST, STE 202, FOUNTAIN HILL, PA 18015(610) 807-9400(610) 997-6326 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David R Renner Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R RENNER PAC (NPI 1659335453) is an individual physician assistant in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MA001272L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659335453
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID R RENNERCredential: PAC
Location Address800 OSTRUM ST, STE 202Fountain Hill, PA 18015-1015
Mailing Address623 E Broad St, 2nd FlrBethlehem, PA 18018-6332 · (610) 954-6048 · Fax (610) 954-3189
Fax(610) 997-6326
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1659335453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA001272L
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

800 OSTRUM ST, Fountain Hill, PA 18015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David R Renner Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
800 OSTRUM ST
FOUNTAIN HILL, PA 18015
Obstetrics & Gynecology
800 OSTRUM ST
FOUNTAIN HILL, PA 18015
Internal Medicine
800 OSTRUM ST, SUITE 102
FOUNTAIN HILL, PA 18015
Internal Medicine
800 OSTRUM ST
FOUNTAIN HILL, PA 18015
Surgery (Trauma Surgery)
800 OSTRUM ST, STE307E
FOUNTAIN HILL, PA 18015
Nurse Practitioner (Family)
800 OSTRUM ST, SUITE 205
FOUNTAIN HILL, PA 18015
Surgery
800 OSTRUM ST, SUITE 100
FOUNTAIN HILL, PA 18015
Student in an Organized Health Care Education/Training Program
800 OSTRUM ST
BETHLEHEM, PA 18015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Renner's NPI number?

The NPI number for David Renner is 1659335453. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is David Renner located?

David Renner practices at 800 Ostrum St Ste 202, Fountain Hill, PA 18015. The listed phone number is (610) 807-9400.

What is David Renner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Renner enrolled in Medicare?

Yes. David Renner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Renner was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.