DR. JOHN WILLIAM PAULISH DO
NPI 1114922663
Internal Medicine in Sayre, PA
About Dr. John William Paulish Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLIAM PAULISH DO (NPI 1114922663) is an individual internal medicine provider in Sayre, Pennsylvania, licensed in Pennsylvania (OS005887L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Philadelphia College Of Osteopathic Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John William Paulish Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Paulish reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, PA 18810
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 830 clinicians in this Medicare group
Troy, PA 16947
- Reassigned Medicare billing, Pennsylvania enrollment
- 37 clinicians in this Medicare group
Scranton, PA 18503
- Reassigned Medicare billing, Pennsylvania enrollment
- 124 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of Lourdes Memorial Hospital, Inc
Acute Care Hospitals · Binghamton, NYArnot Ogden Medical Center
Acute Care Hospitals · Elmira, NYCorning Hospital
Acute Care Hospitals · Corning, NYRobert Packer Hospital
Acute Care Hospitals · Sayre, PATroy Community Hospital
Critical Access Hospitals · Troy, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAYRE, PA 18840
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 John Paulish's NPI number?
The NPI number for John Paulish is 1114922663. It was assigned to this individual provider in the NPPES registry on June 20, 2005.
Where is John Paulish located?
John Paulish practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (866) 519-0457.
What is John Paulish's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Paulish enrolled in Medicare?
Yes. John Paulish 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.
Which organizations bill Medicare for John Paulish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Paulish reassigns Medicare benefits to 3 organizations: Guthrie Medical Group, P.C. (Athens, PA), Troy Community Hospital Incorporated (Troy, PA) and Scranton Quincy Clinic Company LLC (Scranton, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Paulish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Paulish accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Paulish 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 John Paulish affiliated with any hospitals?
According to CMS data, John Paulish is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Arnot Ogden Medical Center, Corning Hospital, Robert Packer Hospital and Troy Community Hospital.
When was this NPI record last updated?
The NPPES record for John Paulish was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.