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PAUL JAMES HERZWURM MD
NPI 1144255068
Orthopaedic Surgery in Augusta, GA

Active since July 11, 2006PECOS Enrolled
80.17/100
CMS Quality Rating
811 13TH ST, STE 20, AUGUSTA, GA 30901(706) 722-3401(706) 724-6540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul James Herzwurm Md NPPES

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

PAUL JAMES HERZWURM MD (NPI 1144255068) is an individual orthopaedic surgery provider in Augusta, Georgia, licensed in Georgia (037831) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144255068
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL JAMES HERZWURMCredential: MD
Location Address811 13TH ST, STE 20Augusta, GA 30901
Mailing Address811 13th St, Ste 20Augusta, GA 30901 · (706) 722-3401 · Fax (706) 724-6540
Phone(706) 722-3401
Fax(706) 724-6540
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144255068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 037831
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
811 13TH ST, Augusta, GA 30901
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Other Identifiers 2

Medicare UPIND90612
Medicare ID-Type Unspecified20BDCNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul James Herzwurm Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.63
Promoting Interoperability100
Improvement Activities40
Cost62.27

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
49%304 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%317 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%78 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,221 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
73%640 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
57%965 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%758 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 500 patients
Patients screened: 87% · 500 patients
88%25 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%122 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 661 patients
Patients totalRate: 1% · 661 patients
1%661 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VAIRAGI CHOKSY
Physician Assistant (Medical)
811 13TH ST, SUITE 10
AUGUSTA, GA 30901
Richmond County (706) 434-1590
AUGUSTA ARTHRITIS CENTER INC
Specialist
811 13TH ST, SUITE 14
AUGUSTA, GA 30901
Richmond County (702) 828-0043
THOMAS ALAN PARFENCHUCK MD
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
JUDAH CHARLES JOHNSON P.A.
Physician Assistant
811 13TH ST, SUITE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
KEVIN J OSHEA MD
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
ORTHOPAEDIC ASSOCIATES OF AUGUSTA PA
Orthopaedic Surgery
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
PATRICK R GAMBLIN P.A.
Physician Assistant
811 13TH ST, SUITE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401
JOSEPH PAUL RECTENWALD MD
Orthopaedic Surgery (Hand Surgery)
811 13TH ST, STE 20
AUGUSTA, GA 30901
Richmond County (706) 722-3401

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 Herzwurm's NPI number?

The NPI number for Paul Herzwurm is 1144255068. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Paul Herzwurm located?

Paul Herzwurm practices at 811 13th St Ste 20, Augusta, GA 30901. The listed phone number is (706) 722-3401.

What is Paul Herzwurm's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Herzwurm enrolled in Medicare?

Yes. Paul Herzwurm is registered in the Medicare PECOS enrollment system.

What insurance does Paul Herzwurm accept?

Health plans from Alliant Health Plans, Inc. list Paul Herzwurm 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.

When was this NPI record last updated?

The NPPES record for Paul Herzwurm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.