PRADEEP S PAUL M.D.
NPI 1073558821
Hospitalist in Bangor, ME

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
360 BROADWAY, BANGOR, ME 04401(207) 907-3215(207) 907-1795 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pradeep S Paul M.d. NPPES

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

PRADEEP S PAUL M.D. (NPI 1073558821) is an individual hospitalist provider in Bangor, Maine, licensed in Maine (MD16897) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1073558821
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRADEEP S PAULCredential: M.D.
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressPo Box 934Bangor, ME 04402-0934 · (207) 907-3339 · Fax (207) 907-1214
Fax(207) 907-1795
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 17, 2006
Last NPPES UpdateJanuary 23, 2012
NPI 1073558821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · MD16897
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

360 BROADWAY, Bangor, ME 04401

Other Identifiers 3

Medicare UPINI42236ME
Medicare ID-Type UnspecifiedME1573ME
Medicaid431970799ME

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

Pradeep S Paul M.d. 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 ID8527083864
PECOS Enrollment IDI20150430000392
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
553 services164 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services52 patients
Follow-up observation care per day, typically 35 minutes 99226
Follow-up observation care is a daily check-up service that lasts about 35 minutes. It involves monitoring your health progress after a treatment or procedure. The care team assesses your recovery and addresses any concerns or questions you may have.
51 services31 patients
Follow-up hospital inpatient care per day, typically 25 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.
37 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services30 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.91 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 20

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

Hospitalist
360 BROADWAY
BANGOR, ME 04401
Hospitalist
360 BROADWAY
BANGOR, ME 04401
Physiological Laboratory
360 BROADWAY
BANGOR, ME 04401
Specialist
360 BROADWAY
BANGOR, ME 04401
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Pharmacist
360 BROADWAY, PHARMACY DEPARTMENT
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073558821, enumerated as an "individual" on June 17, 2006.

The provider is located at 360 BROADWAY BANGOR, ME 04401 and the phone number is (207) 907-3215.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.