DR. PAUL ANTHONY FAGAN D.O.
NPI 1063646305
Orthopaedic Surgery in Oshkosh, WI

Active since May 14, 2009PECOS EnrolledAccepts Medicare Assignment
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700(920) 303-8801 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2023, Dec 8, 2021 (2 updates tracked since 2021).

About Dr. Paul Anthony Fagan D.o. NPPES

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

DR. PAUL ANTHONY FAGAN D.O. (NPI 1063646305) is an individual orthopaedic surgery provider in Oshkosh, Wisconsin, licensed in Wisconsin (63870-021) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2009).

NPPES Registry Identity

NPI1063646305
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL ANTHONY FAGANCredential: D.O.
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing Address855 N Westhaven DrOshkosh, WI 54904-7668 · (920) 303-8700 · Fax (920) 303-8801
Fax(920) 303-8801
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2009
Enumeration DateMay 14, 2009
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1063646305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in WI · 63870-021 Licensed in MI · 5101018111
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

855 N WESTHAVEN DR, Oshkosh, WI 54904

Other Identifiers 1

Medicaid100046679WI

Accepted 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

Dr. Paul Anthony Fagan D.o. 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 ID1951616630
PECOS Enrollment IDI20150811004276
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 8

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
912 services11 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
89 services55 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.
75 services53 patients
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.
44 services41 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
20 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

Audiologist-Hearing Aid Fitter
855 N WESTHAVEN DR, STE 200
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pathology (Anatomic Pathology & Clinical Pathology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Surgery (Vascular Surgery)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Registered Nurse
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 Fagan's NPI number?

The NPI number for Paul Fagan is 1063646305. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Paul Fagan located?

Paul Fagan practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Paul Fagan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Fagan enrolled in Medicare?

Yes. Paul Fagan 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 Fagan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Paul Fagan 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 Fagan affiliated with any hospitals?

According to CMS data, Paul Fagan is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Paul Fagan was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.