PAUL C NADER MD
NPI 1164407102
Internal Medicine - Nephrology in Austin, TX

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
4100 DUVAL ROAD, BUILDING 4, SUITE 102, AUSTIN, TX 78759(512) 832-0999(512) 832-6094 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul C Nader Md NPPES

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

PAUL C NADER MD (NPI 1164407102) is an individual nephrology provider in Austin, Texas, licensed in Texas (F9867) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1981).

NPPES Registry Identity

NPI1164407102
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NamePAUL C NADERCredential: MD
Location Address4100 DUVAL ROAD, BUILDING 4, SUITE 102Austin, TX 78759-4277
Mailing Address408 W 45th StAustin, TX 78751-3014 · (512) 451-5800 · Fax (512) 459-1399
Fax(512) 832-6094
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1981
Enumeration DateDecember 13, 2005
Last NPPES UpdateJuly 15, 2015
NPI 1164407102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · F9867
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4100 DUVAL ROAD, Austin, TX 78759

Other Names 1

Other Name (5)Dr. Paul C Nader Md

Other Identifiers 2

Medicaid124695108TX
Medicare PIN289181YR7HTX

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 C Nader Md 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 ID7214833128
PECOS Enrollment IDI20100527000730
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
0%30 patients1/55-star benchmark: 93%
Cervical Cancer Screening
2%47 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
20%20 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
30%74 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
62%66 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%51 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%51 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%174 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%27 patients1/55-star benchmark: 100%
HIV Screening
5%98 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%115 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
23%116 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%60 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 112 patients
94%112 patients
Provide Patients Electronic Access to Their Health Information
47%53 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%51 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 28 patients
Patients totalRate: 0% · 28 patients
0%28 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 8

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

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims600 services$1.52 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers55 claims7,185 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers17 claims2,400 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers20 claims3,060 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers17 claims2,040 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers51 claims4,468 services$0.94 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 6

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

Advanced Practice Midwife
4100 DUVAL ROAD, BLDG 2 #101
AUSTIN, TX 78759
Family Medicine
4100 DUVAL ROAD, BLDG 2 STE 202
AUSTIN, TX 78759
Registered Nurse (Lactation Consultant)
4100 DUVAL ROAD, BLDG 2 #101
AUSTIN, TX 78759
Nurse Practitioner (Family)
4100 DUVAL ROAD, BLDG III SUITE 200
AUSTIN, TX 78759
Clinic/Center (Ambulatory Surgical)
4100 DUVAL ROAD, BLDG 3 STE 100
AUSTIN, TX 78759
Midwife
4100 DUVAL ROAD, BLDG 2 #101
AUSTIN, TX 78759

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 Nader's NPI number?

The NPI number for Paul Nader is 1164407102. It was assigned to this individual provider in the NPPES registry on December 13, 2005. The provider is also known as Dr. Paul C Nader MD.

Where is Paul Nader located?

Paul Nader practices at 4100 Duval Road Building 4, Suite 102, Austin, TX 78759. The listed phone number is (512) 832-0999.

What is Paul Nader's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Paul Nader enrolled in Medicare?

Yes. Paul Nader 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 Nader accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare and 1 other insurer list Paul Nader 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 Nader affiliated with any hospitals?

According to CMS data, Paul Nader is affiliated with Dell Seton Med Center At The University Of Tx.

When was this NPI record last updated?

The NPPES record for Paul Nader was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.