PAUL D HILL A.R.N.P. NPI 1124160742

Nurse Practitioner in Spokane, WA

NPI 1124160742 Individual Male Years of Experience 18 Nurse Practitioner PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About PAUL HILL

Paul Hill is a provider established in Spokane, Washington and his medical specialization is nurse practitioner with more than 18 years of experience. The NPI number of Paul Hill is 1124160742 and was assigned on February 2007. The practitioner's primary taxonomy code is 363L00000X with license number AP30003773 (WA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

A nurse practitioner (NP) like Paul D Hill A.r.n.p. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Paul Hill is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Paul Hill is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Providence Mount Carmel Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: biopsy follow-up, e-prescribing, health information exchange exclusion, implementation of use of specialist reports back to referring clinician or group to close referral loop, improved practices that disseminate appropriate self-management materials, onc direct review attestation, patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, security risk analysis, specialized registry reporting and tobacco use and help with quitting among adolescents. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1124160742

Provider Name PAUL D HILL A.R.N.P.
Provider Location Address5633 N LIDGERWOOD ST SPOKANE, WA 99208
Provider Mailing Address910 N WASHINGTON ST STE 209 SPOKANE, WA 99201
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-12-2007
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.AP30003773
License StateWA
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Business Address

PAUL D HILL A.R.N.P.
5633 N LIDGERWOOD ST
SPOKANE, WA
ZIP 99208
Phone: (509) 484-8069
Fax: (509) 462-4086

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Mailing Address

PAUL D HILL A.R.N.P.
910 N WASHINGTON ST STE 209
SPOKANE, WA
ZIP 99201
Phone: (509) 484-8069
Fax: (509) 462-4086



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6002877909
PECOS Enrollment IDI20041025000149
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1097Destruction of 2-14 skin growths (HCPCS:17003)
  • 244Destruction of skin growth (HCPCS:17000)
  • 185Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 70Destruction of up to 14 skin growths (HCPCS:17110)
  • 37Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 19Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Biopsy Follow-Up 100% 148
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
e-Prescribing 100% 475
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 83% 724
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 98% 65
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 82% 724
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Tobacco Use and Help with Quitting Among Adolescents 100% 161
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paul Hill is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PROVIDENCE MOUNT CARMEL HOSPITAL982 EAST COLUMBIA
COLVILLE, WA 99114
(509) 684-2561Critical Access Hospitals501326

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
Q26349MEDICARE UPIN (02)WA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003888108 THOMAS D DEA PA-C
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2460
1700854510DR. RICHARD DONALD CARPER PHARM.D.
Individual
Pharmacist (Pharmacotherapy)5633 N LIDGERWOOD ST HOLY FAMILY HOSPITAL-PHARMACY DEPARTMENT
SPOKANE, WA 99208
(509) 482-2262
1053356212 MARY ANNA CHIU M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1184736407DR. BARDOMIANO SANCHEZ JR.
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1750492914DR. RANDALL WAYNE PFLUGRAD MD
Individual
Internal Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 252-6336
1447342373PROVIDENCE HEALTH CARE
Organization
General Acute Care Hospital5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1861571804MR. JEFFREY EDWARD NELSON CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1114072279 STANLEY J. MALNAR MD
Individual
Family Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-0111
1528113768 BRETT E. ENLOW MD
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1245372853 JOHN HUNTER P.A.
Individual
Physician Assistant (Medical)5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1306988969 RICHARD H SCHADE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1154463727 GORDON HOFFNAGLE CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1982746699 MICHAEL R TUCCIO P.A.
Individual
Physician Assistant5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1174665913DR. GARY G GULARTE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1013059880DR. RICHARD W WALKER M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1528100393DR. RANDAL P DEFELICE M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1750423539DR. MARK C WHITMAN M.D.
Individual
Emergency Medicine5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2448
1700928975 MICHAEL FRENCH CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1619019924 CYNTHIA S CAPPELLO CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 484-8069
1407068398MS. PEGGY M ENDRES CRNA
Individual
Nurse Anesthetist, Certified Registered5633 N LIDGERWOOD ST
SPOKANE, WA 99208
(509) 482-2359

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.