PAUL JAMES TOLENTINO MD PHD
NPI 1023067261
Neurological Surgery in Cape Girardeau, MO

Q: What is Paul Tolentino's NPI number?

The NPI number for Paul Tolentino is 1023067261. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Q: What is Paul Tolentino's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Tolentino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment

1723 BROADWAY, SUITE 410, CAPE GIRARDEAU, MO 63701(573) 339-1957(573) 339-9709 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul James Tolentino Md Phd NPPES

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

PAUL JAMES TOLENTINO MD PHD (NPI 1023067261) is an individual neurological surgery provider in Cape Girardeau, Missouri, licensed in Missouri (2004012270) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Harvard Medical School (1995).

NPPES Registry Identity

NPI1023067261

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NamePAUL JAMES TOLENTINOCredential: MD PHD

Location Address1723 BROADWAY, SUITE 410Cape Girardeau, MO 63701

Mailing AddressPo Box 1329Cape Girardeau, MO 63702-1329 · (573) 339-1957

Phone(573) 339-1957

Fax(573) 339-9709

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1995

Enumeration DateMay 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023067261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in MO · 2004012270

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1723 BROADWAY, Cape Girardeau, MO 63701

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Other Identifiers 1

Medicare UPINI17438MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 James Tolentino Md Phd 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 ID6901865864

PECOS Enrollment IDI20041006000776

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 18

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

114 services61 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

59 services58 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

46 services46 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

41 services40 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

33 services33 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

32 services13 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

30 services24 patients

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513

This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.

27 services21 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 22552

This is a surgical procedure where the upper spine bones are joined together after removing a disc. This helps to relieve pressure on the spinal cord or nerves. If more discs need to be removed, the same process is repeated for each additional disc.

23 services11 patients

Treatment of broken lower spine bone with placement of stabilizing device 22514

This procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.

22 services22 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

21 services17 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

20 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services14 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

16 services16 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

15 services15 patients

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

13 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services11 patients

Insertion of instrumentation to pelvic bones 22848

This procedure involves placing medical devices into the pelvic bones. It's done to stabilize the bones, aid in healing, or prepare for further treatment. The process is carried out under anesthesia, ensuring comfort and safety throughout.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

1 supplier21 claims21 services$3,766.31 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 8

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

DR. RANDY G BROWN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1723 BROADWAY, SUITE 310
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-6333

DR. JAMES D RAMSEY M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1723 BROADWAY, SUITE 310
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-6333

ORRIN D RICE PA-C

Physician Assistant (Surgical)

1723 BROADWAY, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 332-7746

TERRY LINN CLEAVER M.D.

Anesthesiology (Pain Medicine)

1723 BROADWAY, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 339-1957

ANNA MARIA GUIDOS MD

Physical Medicine & Rehabilitation

1723 BROADWAY, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 339-1957

DR. TRYGVE O HONAAS M.D.

Internal Medicine (Gastroenterology)

1723 BROADWAY, SUITE 220
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7910

GORDON L HAYCRAFT MD

Internal Medicine (Cardiovascular Disease)

1723 BROADWAY, SUITE 310
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7850

REGIONAL BRAIN & SPINE LLC

Neurological Surgery

1723 BROADWAY, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 332-7746

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 Tolentino's NPI number?

The NPI number for Paul Tolentino is 1023067261. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Paul Tolentino located?

Paul Tolentino practices at 1723 Broadway Suite 410, Cape Girardeau, MO 63701. The listed phone number is (573) 339-1957.

What is Paul Tolentino's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Tolentino enrolled in Medicare?

Yes. Paul Tolentino 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 Tolentino accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Paul Tolentino 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 Tolentino affiliated with any hospitals?

According to CMS data, Paul Tolentino is affiliated with Mercy Hospital Southeast and Missouri Delta Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Tolentino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.