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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
540 services172 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.
57 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 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.
15 services15 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
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
Registered Nurse
360 BROADWAY
BANGOR, ME 04401

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 Pradeep Paul's NPI number?

The NPI number for Pradeep Paul is 1073558821. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Pradeep Paul located?

Pradeep Paul practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3215.

What is Pradeep Paul's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pradeep Paul enrolled in Medicare?

Yes. Pradeep Paul 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.

When was this NPI record last updated?

The NPPES record for Pradeep Paul was last updated on January 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.