PAUL J KERNS M.D.
NPI 1093736688
Obstetrics & Gynecology in Wausau, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
2720 PLAZA DR STE 2100, ASPIRUS OB/GYN ASSOCIATES, WAUSAU, WI 54401(715) 847-2475 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul J Kerns M.d. NPPES

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

PAUL J KERNS M.D. (NPI 1093736688) is an individual obstetrics & gynecology provider in Wausau, Wisconsin, licensed in Maryland (D0064381) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Michigan State University College Of Human Medicine (2002).

NPPES Registry Identity

NPI1093736688
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePAUL J KERNSCredential: M.D.
Location Address2720 PLAZA DR STE 2100, ASPIRUS OB/GYN ASSOCIATESWausau, WI 54401-4157
Mailing Address2720 Plaza Dr Ste 2100, Aspirus Ob/gyn AssociatesWausau, WI 54401-4157 · (715) 847-2475
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2002
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 4, 2012
NPI 1093736688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MD · D0064381
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2720 PLAZA DR STE 2100, Wausau, WI 54401

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

Paul J Kerns 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 ID4688675028
PECOS Enrollment IDI20080904000175
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 5

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 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.
42 services24 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.
27 services27 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 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.
23 services22 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

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.

Nurse Practitioner
2720 PLAZA DR STE 2100
WAUSAU, WI 54401
Pediatrics (Neonatal-Perinatal Medicine)
2720 PLAZA DR STE 2100
WAUSAU, WI 54401
Nurse Practitioner (Family)
2720 PLAZA DR STE 2100
WAUSAU, WI 54401

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 Kerns's NPI number?

The NPI number for Paul Kerns is 1093736688. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Paul Kerns located?

Paul Kerns practices at 2720 Plaza Dr Ste 2100 Aspirus Ob/Gyn Associates, Wausau, WI 54401. The listed phone number is (715) 847-2475.

What is Paul Kerns's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paul Kerns enrolled in Medicare?

Yes. Paul Kerns 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 Kerns accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Paul Kerns 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 Kerns affiliated with any hospitals?

According to CMS data, Paul Kerns is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Paul Kerns was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.