PAUL JONATHAN RAMIREZ M.D.
NPI 1114248986
Radiology - Diagnostic Radiology in Modesto, CA

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
98.92/100
CMS Quality Rating
1524 MCHENRY AVE, SUITE 430, MODESTO, CA 95350(209) 577-4444(209) 846-7309 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Jonathan Ramirez M.d. NPPES

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

PAUL JONATHAN RAMIREZ M.D. (NPI 1114248986) is an individual diagnostic radiology provider in Modesto, California, licensed in California (A115617) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114248986
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePAUL JONATHAN RAMIREZCredential: M.D.
Location Address1524 MCHENRY AVE, SUITE 430Modesto, CA 95350-4500
Mailing Address1524 Mchenry Ave, Suite 430Modesto, CA 95350-4500
Fax(209) 846-7309
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2010
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
NPI 1114248986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in CA · A115617 Licensed in VA · 0101263710 Licensed in MO · 2024004442 Licensed in IL · 036144758
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1524 MCHENRY AVE, Modesto, CA 95350

Other Identifiers 1

Medicaid1114248986CA

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 Jonathan Ramirez 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 ID4385868967
PECOS Enrollment IDI20140623000971, I20240315001965, I20240716003607, I20240722000037, I20250813002163, I20251230001480
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 53

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,006 services891 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
427 services419 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
236 services236 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
167 services167 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
156 services155 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
151 services151 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

98.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability85
Improvement Activities40
Cost92.24

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.

Social Worker (Clinical)
1524 MCHENRY AVE, SUITE # 450
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE
MODESTO, CA 95350
Pediatrics
1524 MCHENRY AVE, 570
MODESTO, CA 95350
Obstetrics & Gynecology
1524 MCHENRY AVE, SUITE 405
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Radiology (Diagnostic Radiology)
1524 MCHENRY AVE, SUITE 100
MODESTO, CA 95350
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1524 MCHENRY AVE, SUITE 370
MODESTO, CA 95350

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 Ramirez's NPI number?

The NPI number for Paul Ramirez is 1114248986. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Paul Ramirez located?

Paul Ramirez practices at 1524 Mchenry Ave Suite 430, Modesto, CA 95350. The listed phone number is (209) 577-4444.

What is Paul Ramirez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Paul Ramirez enrolled in Medicare?

Yes. Paul Ramirez 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 Ramirez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Paul Ramirez 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 Ramirez affiliated with any hospitals?

According to CMS data, Paul Ramirez is affiliated with Blessing Hospital, Owensboro Health Regional Hospital, Lake Charles Memorial Hospital, Uphs Marquette Dlp Hospital and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Paul Ramirez was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.