DR. PAUL TIMOTHY ENGLISH M.D.
NPI 1154300705
Family Medicine in Hot Springs, AR

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment
88.48/100
CMS Quality Rating
100 HOLLYWOOD AVE, HOT SPRINGS, AR 71901(501) 321-9292(877) 791-3078 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Timothy English M.d. NPPES

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

DR. PAUL TIMOTHY ENGLISH M.D. (NPI 1154300705) is an individual family medicine provider in Hot Springs, Arkansas, licensed in Arkansas (C-6404) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (1983).

NPPES Registry Identity

NPI1154300705
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL TIMOTHY ENGLISHCredential: M.D.
Location Address100 HOLLYWOOD AVEHot Springs, AR 71901-7057
Mailing Address100 Hollywood AveHot Springs, AR 71901-7057 · (501) 321-9292 · Fax (501) 623-5541
Fax(877) 791-3078
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1983
Enumeration DateJanuary 12, 2006
Last NPPES UpdateMarch 28, 2019
NPI 1154300705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · C-6404
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 HOLLYWOOD AVE, Hot Springs, AR 71901

Other Identifiers 8

Other080193799Travelers Medicare
Other131570000AR · Qualchoice
Other5897027AR · Aetna
Other50411AR · Bcbs
Other0120434AR · United Health Care
Medicaid112280001AR
Other483973AR · Healthlink
OtherP03254AR · Novasys

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

Dr. Paul Timothy English 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 ID3173608312
PECOS Enrollment IDI20100714000146
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 49

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 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.
1,414 services548 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
899 services502 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
565 services438 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
544 services391 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
504 services392 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
502 services426 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71901 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
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.

88.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability95
Improvement Activities40
Cost65.79

Reported Quality Measures

Breast Cancer Screening
84%466 patients4/55-star benchmark: 93%
Cervical Cancer Screening
57%320 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
80%960 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
82%874 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
10%245 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,243 patients5/55-star benchmark: 100%
e-Prescribing
98%8,680 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%829 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 1,427 patients
Patients screened: 79% · 1,427 patients
97%103 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
61%1,780 patients3/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
100%958 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers68 claims182 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers42 claims50 services$0.96 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,400 services$1.56 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$5.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$7.42 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4417
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$3.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
100 HOLLYWOOD AVE
HOT SPRINGS, AR 71901
Family Medicine
100 HOLLYWOOD AVE
HOT SPRINGS, AR 71901
Physical Therapy Assistant
100 HOLLYWOOD AVE
HOT SPRINGS, AR 71901
Family Medicine
100 HOLLYWOOD AVE
HOT SPRINGS, AR 71901

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 English's NPI number?

The NPI number for Paul English is 1154300705. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Paul English located?

Paul English practices at 100 Hollywood Ave, Hot Springs, AR 71901. The listed phone number is (501) 321-9292.

What is Paul English's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul English enrolled in Medicare?

Yes. Paul English 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 English accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Paul English 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 English was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.