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PAUL BRANCHEAU DPM
NPI 1013373885
Podiatrist in Greenville, TX

Active since January 11, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3900 JOE RAMSEY BLVD E BLDG 5, GREENVILLE, TX 75401(903) 455-2383(903) 455-9419 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2018, Jan 11, 2016 (2 updates tracked since 2016).

About Paul Brancheau Dpm NPPES

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

PAUL BRANCHEAU DPM (NPI 1013373885) is an individual podiatrist in Greenville, Texas, licensed in Texas (2332) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013373885
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NamePAUL BRANCHEAUCredential: DPM
Location Address3900 JOE RAMSEY BLVD E BLDG 5Greenville, TX 75401
Mailing Address3900 Joe Ramsey Blvd E Bldg 5Greenville, TX 75401-7727 · (903) 455-2383 · Fax (903) 455-9419
Phone(903) 455-2383
Fax(903) 455-9419
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 11, 2016
Last NPPES UpdateJune 11, 20182 updates tracked since enumeration
✔ NPI 1013373885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TX · 2332
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3900 JOE RAMSEY BLVD E BLDG 5, Greenville, TX 75401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1810 E Ralph Hall Pkwy Ste 130Rockwall, TX 75032-6879
Location 2119 Medical CirSulphur Springs, TX 75482-2138 · Phone (903) 885-2754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Brancheau Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850647009
PECOS Enrollment IDI20180702001935
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,009 services365 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
223 services131 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
119 services119 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services47 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
44 services36 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
40 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75401 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier35 claims70 services$59.79 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier21 claims125 services$36.93 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier13 claims13 services$215.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

PODIATRY CENTER OF NORTH TEXAS, LLC
Podiatrist (Foot & Ankle Surgery)
3900 JOE RAMSEY BLVD E BLDG 5
GREENVILLE, TX 75401
Hunt County (903) 455-2383
KEVIN HUNTSMAN DPM
Podiatrist
3900 JOE RAMSEY BLVD E BLDG 5
GREENVILLE, TX 75401
Hunt County (903) 455-2383
ERIC EUGENE DUFFIN DPM
Podiatrist
3900 JOE RAMSEY BLVD E BLDG 5
GREENVILLE, TX 75401
Hunt County (903) 455-2383

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 Paul Brancheau's NPI number?

The NPI number for Paul Brancheau is 1013373885. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Paul Brancheau located?

Paul Brancheau practices at 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401. The listed phone number is (903) 455-2383.

What is Paul Brancheau's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Paul Brancheau enrolled in Medicare?

Yes. Paul Brancheau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Brancheau accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Paul Brancheau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Brancheau affiliated with any hospitals?

According to CMS data, Paul Brancheau is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Brancheau was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.